Herships, Michael

Herships, Michael is an sole proprietor health care provider with primary practice located at 222 E Main St Suite 210, Smithtown NY 11787-2871. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Herships, Michael can be contacted via phone (631) 361-9338.

Contact Information

Primary practice address
222 E Main St Suite 210 Smithtown NY 11787-2871
Fax: (631) 653-1440
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 008936 New York

Profile Details

NPI number 1740378520
LBN Legal business name Herships, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1740378520 NPPES
New York MEDICAID 01103433

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