Herzog, Eric Francis

Herzog, Eric Francis is an individual health care provider with primary practice located at 1020 New River Pkwy Ste 200 , Fallon NV 89406-7801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Herzog, Eric Francis can be contacted via phone (775) 428-2633.

Contact Information

Primary practice address
1020 New River Pkwy Ste 200 Fallon NV 89406-7801
Fax: (775) 428-2630
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G066400 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7071 Nevada

Profile Details

NPI number 1295795177
LBN Legal business name Herzog, Eric Francis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 21st, 2019 - about 5 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 1295795177 NPPES
Nevada MEDICAID 100204363

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