Provider Demographics
NPI:1366448177
Name:HEROLD, DANIEL JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:JOSEPH
Last Name:HEROLD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 2176
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68902-2176
Mailing Address - Country:US
Mailing Address - Phone:402-463-0404
Mailing Address - Fax:402-462-5057
Practice Address - Street 1:715 N SAINT JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4451
Practice Address - Country:US
Practice Address - Phone:402-461-5191
Practice Address - Fax:402-461-5088
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE203972085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE68901B006OtherTRICARE/CHAMPUS
KS101347OtherBCBS KANSAS
G72302OtherKAISER FOUNDATION
8018OtherMIDLANDS CHOICE
NEG72302OtherCOVENTRY HEALTH OF NE
NE00382OtherBCBS OF NEBRASKA
G72302OtherSTERLING OPTION ONE
NEG72302OtherCOVENTRY HEALTH OF NE
G72302OtherSTERLING OPTION ONE