Individual
J.MICHAEL HERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
45 S MAIN ST STE 212, WEST HARTFORD, CT 06107-2402
(860) 236-2515
(860) 236-2572
Mailing address
45 S MAIN ST STE 212, WEST HARTFORD, CT 06107-2402
(860) 236-2515
(860) 236-2572
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
039908
CT
207Q00000X
Family Medicine Physician
039908
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80-0090424
FEIN
—
Enumeration date
05/04/2006
Last updated
07/21/2022
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