Herzog, George Howard
Herzog, George Howard is an individual health care provider with primary practice located at 4150 Clement St G1-111B1 , San Francisco CA 94121. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Herzog, George Howard can be contacted via phone (415) 221-4810.Contact Information
Primary practice address
4150 Clement St G1-111B1
San Francisco CA 94121
Phone: (415) 221-4810
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 364SG0600X | 4606 | California |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 4606 | California |
Profile Details
NPI number | 1245739283 |
---|---|
LBN Legal business name | Herzog, George Howard |
Credentials | RN, CNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 5th, 2018 |
Last updated | Feb 5th, 2018 - about 6 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 | 1245739283 | NPPES |
California | Other | 2016008577 | ANCC ADULT-GERONTOLOGY CNS CERTIFICATION |
California | Other | 493597 | ANCC ADULT-GERONTOLOGY CNS CERTIFICATION |
California | Other | 4606 | ANCC ADULT-GERONTOLOGY CNS CERTIFICATION |
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