Hershberger, Keri Lynn

Hershberger, Keri Lynn is an sole proprietor health care provider with primary practice located at One Healthy Place Suite 102, Pataskala OH 43062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hershberger, Keri Lynn can be contacted via phone (220) 564-1915.

Contact Information

Primary practice address
One Healthy Place Suite 102 Pataskala OH 43062
Fax: (220) 564-1916
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60521862 Washington

Profile Details

NPI number 1114210374
LBN Legal business name Hershberger, Keri Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2011
Last updated Mar 18th, 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 1114210374 NPPES
Ohio MEDICAID 0164976

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