1750606406 NPI number — DR. EMILY JANE HERSCHMILLER MD

Table of content: MILEKAH HEBRON MA CCC-SLP (NPI 1023200797)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750606406 NPI number — DR. EMILY JANE HERSCHMILLER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERSCHMILLER
Provider First Name:
EMILY
Provider Middle Name:
JANE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750606406
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5157
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VANCOUVER
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98668-5157
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
360-828-5396
Provider Business Mailing Address Fax Number:
360-828-5455

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 NE MOTHER JOSEPH PL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98664-3200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-828-5396
Provider Business Practice Location Address Fax Number:
360-828-5455
Provider Enumeration Date:
04/06/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  274470 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207L00000X , with the licence number: MD60578583 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com