Hertog, Gary Edward
Hertog, Gary Edward is an sole proprietor health care provider with primary practice located at 426 West Ave , Red Wing MN 55066-2473. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hertog, Gary Edward can be contacted via phone (651) 385-6180.Contact Information
Primary practice address
426 West Ave
Red Wing MN 55066-2473
Phone: (651) 385-6180
Fax: (651) 385-6195
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3783 | Minnesota |
Profile Details
| NPI number | 1710074208 |
|---|---|
| LBN Legal business name | Hertog, Gary Edward |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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