Herschell Servies JR.
Family Doctor General Practice Physician Infectious Disease
2705 N Lebanon St Ste 150
Lebanon
, Indiana 46052-8622
Herschell Servies JR.
Family Doctor General Practice Physician Infectious Disease
2705 N Lebanon St Ste 150
Lebanon
, Indiana 46052-8622
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About
Features
Specialties
- Family Doctor
- Infectious Disease
- General Practice Physician
Languages spoken
- English
Location
First Address
- Herschell Servies JR.
- 2705 N Lebanon St Ste 305
- Lebanon, IN
- Zip : 46052-8622
- Phone :
Second Address
- Herschell Servies JR.
- 2705 N Lebanon St Ste 150
- Lebanon, IN
- Zip : 46052-8622
- Fax : (765) 485-8889
- Phone : (765) 485-8880
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FAQs
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What type of doctor is Herschell Servies JR.
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Is Herschell Servies JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 01026360 | IN |
| Y | 207RI0200X | Infectious Disease | 01026360 | IN |
| N | 208D00000X | General Practice Physician | 01026360 | IN |
National Provider Identifier
| NPI | 1013904671 |
|---|---|
| Provider Name | Herschell Servies JR. |
| First Address | Lebanon, IN 46052-8622 |
| Second Address | Lebanon, IN 46052-8622 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/09/2005 |
| Last Update Date | 29/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100191250 | (05) | IN |
| D67835 | (02) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.