Provider Demographics
NPI:1528206646
Name:HERMANN, DAVID W
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:HERMANN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226B PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-2853
Mailing Address - Country:US
Mailing Address - Phone:757-876-0807
Mailing Address - Fax:425-491-2448
Practice Address - Street 1:226B PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23661-2853
Practice Address - Country:US
Practice Address - Phone:757-876-0807
Practice Address - Fax:425-491-2448
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA114374171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications