Hershberger, Holly Jo

Hershberger, Holly Jo is an individual health care provider with primary practice located at 37868 Us Highway 18 , Prairie Du Chien WI 53821-8416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hershberger, Holly Jo can be contacted via phone (608) 357-2000.

Contact Information

Primary practice address
37868 Us Highway 18 Prairie Du Chien WI 53821-8416
Fax: (608) 357-2254
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4533-033 Wisconsin

Profile Details

NPI number 1003197997
LBN Legal business name Hershberger, Holly Jo
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2011
Last updated Apr 29th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003197997 NPPES
Wisconsin Other 4533-033 STATE OF WISCONSIN DEPT OF REGULATION AND LICENSING

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