| Timothy Herron Md Inc | |
|
1200 Prospect Street Suite 303 Sandusky OH 44870-3316 | |
| (419) 626-6362 | |
| Not Available |
| Full Name | Timothy Herron Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1200 Prospect Street Suite 303, Sandusky, Ohio |
| Authorized Official Name and Position | Timothy Herron (PRESIDENT) |
| Authorized Official Contact | 4196266362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Herron Md Inc 1200 Prospect Street Suite 303 Sandusky OH 44870-3316 Ph: (419) 626-6362 | Timothy Herron Md Inc 1200 Prospect Street Suite 303 Sandusky OH 44870-3316 Ph: (419) 626-6362 |
| NPI Number | 1093870180 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406856756 |
|---|---|
| Medicare Enrollment ID | O20070110000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093870180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Timothy Herron |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356323729 PECOS PAC ID: 8123028479 Enrollment ID: I20101215000824 |
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