Individual
SAMUEL HERRING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 E 42ND ST, INDIANAPOLIS, IN 46226-4550
(317) 714-9911
(317) 541-0075
Mailing address
4530 E 42ND ST, INDIANAPOLIS, IN 46226-4550
(317) 714-9911
(317) 541-0075
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
240170361
IN
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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