Provider Demographics
NPI:1588801658
Name:HERB, MICHAEL BENJAMIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:BENJAMIN
Last Name:HERB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2286 OAKMONT WAY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5519
Mailing Address - Country:US
Mailing Address - Phone:541-484-5777
Mailing Address - Fax:541-284-2704
Practice Address - Street 1:2286 OAKMONT WAY
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5519
Practice Address - Country:US
Practice Address - Phone:541-484-5777
Practice Address - Fax:541-284-2704
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3886111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor