Herskowitz, Ian C.

Herskowitz, Ian C. is an individual health care provider with primary practice located at 820 Saint Sebastian Way Ste 4A , Augusta GA 30901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Herskowitz, Ian C. can be contacted via phone (706) 774-5995.

Contact Information

Primary practice address
820 Saint Sebastian Way Ste 4A Augusta GA 30901
Phone: (706) 774-5995
Fax: (706) 774-5996
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 34157 Georgia

Profile Details

NPI number 1295880680
LBN Legal business name Herskowitz, Ian C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 23rd, 2018 - about 6 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 1295880680 NPPES
Georgia MEDICAID 00713292A
Georgia Other 11D0687551
Georgia Other 110051869
Georgia MEDICAID G34157

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