Herzberg, Mark Carl
Herzberg, Mark Carl is an sole proprietor health care provider with primary practice located at Va Medical Center One Veterans Drive, Minneapolis MN 55417. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Herzberg, Mark Carl can be contacted via phone (612) 467-4716.Contact Information
Primary practice address
Va Medical Center One Veterans Drive
Minneapolis MN 55417
Phone: (612) 467-4716
Fax: (612) 626-2651
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 8687 | Minnesota |
Profile Details
| NPI number | 1073731998 |
|---|---|
| LBN Legal business name | Herzberg, Mark Carl |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - 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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