Herzog, Deborah J
Herzog, Deborah J is an sole proprietor health care provider with primary practice located at 3811 W 52Nd St , Roeland Park KS 66205-1458. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Herzog, Deborah J can be contacted via phone (913) 579-8556.Contact Information
Primary practice address
3811 W 52Nd St
Roeland Park KS 66205-1458
Phone: (913) 579-8556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2004028607 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 17-00917 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 2004028607 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 17-00917 | Kansas |
Profile Details
| NPI number | 1164428751 |
|---|---|
| LBN Legal business name | Herzog, Deborah J |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2005 |
| Last updated | Dec 30th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164428751 | NPPES |
| Missouri | Other | 201858547 | GREAT-WEST HC PROVIDER # |
| Missouri | Other | 34948018 | GREAT-WEST HC PROVIDER # |
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