Hertweck, Donald Edward

Hertweck, Donald Edward is an individual health care provider with primary practice located at 2500 Summit Ave , Greensboro NC 27405-4522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hertweck, Donald Edward can be contacted via phone (336) 621-2500.

Contact Information

Primary practice address
2500 Summit Ave Greensboro NC 27405-4522
Fax: (336) 478-2541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9801298 North Carolina

Profile Details

NPI number 1265432447
LBN Legal business name Hertweck, Donald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 19th, 2012 - about 12 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 1265432447 NPPES
North Carolina MEDICAID 89127KV

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