Herwig, Theodor Thomas
Herwig, Theodor Thomas is an sole proprietor health care provider with primary practice located at 1 Independence Way , Brewster MA 02631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Herwig, Theodor Thomas can be contacted via phone (508) 896-0050.Contact Information
Primary practice address
1 Independence Way
Brewster MA 02631
Phone: (508) 896-0050
Fax: (508) 896-0012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 72413 | Massachusetts |
Profile Details
| NPI number | 1821076688 |
|---|---|
| LBN Legal business name | Herwig, Theodor Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821076688 | NPPES |
| Massachusetts | Other | 718001 | TUFTS |
| Massachusetts | Other | 01-00760 | TUFTS |
| Massachusetts | MEDICAID | 9713531 | TUFTS |
| Massachusetts | Other | 7783 | TUFTS |
| Massachusetts | Other | B10032101 | TUFTS |
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