Individual
DR. SANDRA J HERRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
803 W MARKET ST, SUITE 100, LIMA, OH 45805-2796
(419) 996-5063
(419) 996-5502
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-087145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104809904
MI MEDICAID-OH LOCATIONS
MI
05
—
2686240
—
OH
01
—
HE4185204
MEDICARE
OH
01
—
P00695742
RR MEDICARE
OH
Enumeration date
11/25/2005
Last updated
07/26/2016
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