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NPI Code Detail

MEDICARE: MS. MARGARET SUE HERB MS

MEDICARE: MS. MARGARET SUE HERB MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1487879680
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARGARET SUE HERB MS
Provider Business Mailing Address
First Line : 7732 COUNTY ROAD 68
Second Line :
City : SPENCERVILLE
State : IN
Zip : 46788-9304
Country : US
Telephone Number : 260-908-1849
Fax Number : 260-337-0073
Provider Business Practice Location Address
First Line : 2821 HILLEGAS RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46808-3859
Country : US
Telephone Number : 260-471-1950
Fax Number : 260-471-1950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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