Hertzer, John L
Hertzer, John L is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Hertzer, John L can be contacted via phone (216) 844-3881.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-3881
Fax: (216) 844-5883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35072227 | Ohio |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 35072227 | Ohio |
Profile Details
| NPI number | 1104885235 |
|---|---|
| LBN Legal business name | Hertzer, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jan 14th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104885235 | NPPES |
| Ohio | MEDICAID | 2203930 | |
| Ohio | MEDICAID | 0943457 | |
| Ohio | Other | 000000224416 | |
| Ohio | Other | 000000532997 | |
| Ohio | Other | 363633 | |
| Ohio | Other | 7032237 |
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