Herzog, Philip Franklin

Herzog, Philip Franklin is an individual health care provider with primary practice located at 2701 156Th Ave Ne , Redmond WA 98052-5513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Herzog, Philip Franklin can be contacted via phone (425) 883-5020.

Contact Information

Primary practice address
2701 156Th Ave Ne Redmond WA 98052-5513
Phone: (425) 883-5020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00017328 Washington
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD00017328 Washington

Profile Details

NPI number 1780732008
LBN Legal business name Herzog, Philip Franklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 16th, 2007 - about 18 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 1780732008 NPPES
Washington MEDICAID 8446304

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