John L Hertzer in Cleveland - Child & Adolescent Psychiatry
John L Hertzer - NPI 1104885235
John L Hertzer is a Child & Adolescent Psychiatry in Cleveland, Ohio. John L Hertzer practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for John L Hertzer is 1104885235. The last update date is 2021-01-14.
John L Hertzer's current location address is 11100 Euclid Ave, Cleveland, Ohio. You can contact this provider via phone number 2168443881 and fax number 2168445883. The mailing address for John L Hertzer is 11100 Euclid Ave, Cleveland, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Hertzer |
|---|---|
| Address | 11100 Euclid Ave, Cleveland, Ohio |
| Phone Number | 2168443881 |
| Fax Number | 2168445883 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104885235 |
|---|---|
| Provider Enumeration Date | 2006-03-18 |
| Last Updated Date | 2021-01-14 |
Provider Mailing Address Detail
| Address | 11100 Euclid Ave |
|---|---|
| City | Cleveland |
| State | Ohio (OH) |
| Post Code | 441061716 |
| Phone Number | 2168443881 |
| Fax Number | 2168445883 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 35072227 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2203930 | OH | -- | |
| 943457 | OH | -- | |
| 224416 | OH | UNISON | |
| 532997 | OH | ANTHEM | |
| 363633 | OH | WELLCARE MEDICAID | |
| 7032237 | OH | AETNA |
Post Comment/ Review Below
What is the John L Hertzer's unique identification number?
The John L Hertzer has been assigned the NPI (National Provider Identifier) Number 1104885235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where John L Hertzer is physically located?
The John L Hertzer is situated at the following address: 11100 Euclid Ave, Cleveland, OH 441061716.
What is John L Hertzer's specialized field of practice, and what is the corresponding taxonomy classification code?
The John L Hertzer's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104885235 to John L Hertzer?
The Centers for Medicare & Medicaid Services originally issued the 1104885235 to John L Hertzer on 2006-03-18.
As of what date were the details pertaining to John L Hertzer last refreshed?
The information related to the John L Hertzer, including its address, specialty, and other relevant details, was last updated on 2021-01-14.
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