Individual
HAROLD J HERBST
Active
Individual
HAROLD J HERBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9077
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111645
MEDICA
—
01
—
1001271
PREFERREDONE
—
01
—
20642
SIOUX VALLEY
—
01
—
23576
ND BC
—
01
—
61A01HE
MN BC
—
05
—
701826600
—
MN
05
—
71103
—
ND
01
—
944702
AMERICAS PPO
—
01
—
970003849
ND RR
—
01
—
970003854
MN RR
—
01
—
HP25754
HEALTHPARTNERS
—
01
—
N4664
ND MEDICARE
ND
Enumeration date
07/14/2006
Last updated
01/13/2014
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