Herten, Robert Jeffrey

Herten, Robert Jeffrey is an individual health care provider with primary practice located at 15 Santa Rosa St , San Luis Obispo CA 93405-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Herten, Robert Jeffrey can be contacted via phone (805) 541-2650.

Contact Information

Primary practice address
15 Santa Rosa St San Luis Obispo CA 93405-1811
Phone: (805) 541-2650
Fax: (805) 541-4043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X A25307 California

Profile Details

NPI number 1265407852
LBN Legal business name Herten, Robert Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 12th, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265407852 NPPES
California MEDICAID 00A253070

Popular Providers