Hervert, John Charles

Hervert, John Charles is an sole proprietor health care provider with primary practice located at 1590 S Sr 15A Ste 100 , Deland FL 32720-7817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Hervert, John Charles can be contacted via phone (386) 774-0016.

Contact Information

Primary practice address
1590 S Sr 15A Ste 100 Deland FL 32720-7817
Phone: (386) 774-0016
Fax: (386) 774-0606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS18043 Florida

Profile Details

NPI number 1235428921
LBN Legal business name Hervert, John Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated May 26th, 2023 - about 2 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 1235428921 NPPES
Oklahoma MEDICAID 200416870A
Oklahoma Other 311373YM2Y

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