Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01055989A | IN |
NPI | 1588671788 |
---|---|
Provider Name | Dr. Steven A Herbst |
First Address | Muncie, IN 47308-1643 |
Second Address | Muncie, IN 47304-5407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 22/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000220068 | ANTHEM PIN (01) | IN |
200043943 | RAILROAD MEDICARE (01) | IN |
200368660 | (05) | IN |
H59091 | (02) | IN |