Hertzog, Roxanne E

Hertzog, Roxanne E is an individual health care provider with primary practice located at 1100 Pacific Ave Suite 100, Everett WA 98201-4261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Hertzog, Roxanne E can be contacted via phone (206) 244-1212.

Contact Information

Primary practice address
1100 Pacific Ave Suite 100 Everett WA 98201-4261
Phone: (206) 244-1212
Fax: (206) 244-1223
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00032736 Washington

Profile Details

NPI number 1073503181
LBN Legal business name Hertzog, Roxanne E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jun 16th, 2008 - about 17 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 1073503181 NPPES
Washington Other 8938073 CRIME VICTIMS PROGRAM
Washington Other 4682HE CRIME VICTIMS PROGRAM
Washington Other 0184996 CRIME VICTIMS PROGRAM
Washington MEDICAID 8017535 CRIME VICTIMS PROGRAM

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