Herzon, Fred S.

Herzon, Fred S. is an individual health care provider with primary practice located at 1101 Madison St Suite 301, Seattle WA 98104-1306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Herzon, Fred S. can be contacted via phone (206) 505-1101.

Contact Information

Primary practice address
1101 Madison St Suite 301 Seattle WA 98104-1306
Fax: (206) 505-1041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD00042135 Washington

Profile Details

NPI number 1558346072
LBN Legal business name Herzon, Fred S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 17 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 1558346072 NPPES
Washington MEDICAID 8438384

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