Herzog, William R

Herzog, William R is an individual health care provider with primary practice located at 10710 Charter Dr Suite 400, Columbia MD 21044-2858. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Herzog, William R can be contacted via phone (410) 997-7979.

Contact Information

Primary practice address
10710 Charter Dr Suite 400 Columbia MD 21044-2858
Fax: (410) 997-9231
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X D41959 Maryland
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D41959 Maryland

Profile Details

NPI number 1902873979
LBN Legal business name Herzog, William R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Feb 10th, 2017 - about 9 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 1902873979 NPPES
Maryland Other P00963606 RAILROAD MEDICARE
Maryland Other 0061936 RAILROAD MEDICARE
Maryland Other 523202-06 RAILROAD MEDICARE
Maryland Other V879-0001 RAILROAD MEDICARE
Maryland MEDICAID 543951500 RAILROAD MEDICARE

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