Jacek M. Herchold
MD | Pediatrics | Male
Jacek M. Herchold, MD is a Phoenix, Arizona based Pediatric doctor with medical specialization in
General Pediatrics. Jacek M. Herchold is also known as
Jack Herchold.
Current practice location of Jacek M. Herchold is
2030 W Whispering Wind Dr, Phoenix, Arizona - 85085-2853. He can be contacted on phone at
602-866-0550 and fax number 602-993-5788.
Jacek M. Herchold is a sole proprietor of his business.
NPI number (Unique professional ID) for Jacek M. Herchold is
1093707499 which was assigned by NPPES on 22 Aug, 2005 and it was last updated on 22 Aug, 2011.
Jacek M. Herchold license number is
17909 for Pediatrics (208000000X) in Arizona.
Jacek M. Herchold is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jacek M. Herchold basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jacek M. Herchold |
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| Other Name : | Jack Herchold |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Jacek M. Herchold address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2030 W Whispering Wind Dr
Phoenix, AZ, 85085-2853
United States |
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| Phone Number : | 602-866-0550 |
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| Fax Number : | 602-993-5788 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1093707499 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 Aug, 2005 |
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| Last Updated On : | 22 Aug, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacek M. Herchold are as mentioned. Primary taxonomy code for Jacek M. Herchold, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 17909 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Jacek M. Herchold such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 282012 | MEDICAID | AZ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15650 N Black Canyon Hwy, Suite 100
Phoenix, AZ, 85053-4064
United States |
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| Phone Number : | 602-866-0550 |
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| Fax Number : | 602-993-5788 |
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Business Location:
Patients can refer following map for directions to
Jacek M. Herchold practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.