Herzog, Louis E

Herzog, Louis E is an individual health care provider with primary practice located at 7210 Murray Dr , Stockton CA 95210. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Herzog, Louis E can be contacted via phone (209) 373-2800.

Contact Information

Primary practice address
7210 Murray Dr Stockton CA 95210
Phone: (209) 373-2800
Fax: (209) 373-2878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN140980 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP10024 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP95009654 California

Profile Details

NPI number 1356830384
LBN Legal business name Herzog, Louis E
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2018
Last updated Sep 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356830384 NPPES
Louisiana Other AP10024 LOUISIANA STATE BOARD OF NURSING
Louisiana Other RN140980 LOUISIANA STATE BOARD OF NURSING
Louisiana Other 2017037465 LOUISIANA STATE BOARD OF NURSING
Louisiana Other NP95009654 LOUISIANA STATE BOARD OF NURSING

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