Provider Demographics
NPI:1922190842
Name:HERRMAN, BRET E (DC)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:E
Last Name:HERRMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 228
Mailing Address - Street 2:319 S MAIN, STE F
Mailing Address - City:ROGERSVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65742-0228
Mailing Address - Country:US
Mailing Address - Phone:417-753-2362
Mailing Address - Fax:417-753-7315
Practice Address - Street 1:319 S MAIN
Practice Address - Street 2:STE F
Practice Address - City:ROGERSVILLE
Practice Address - State:MO
Practice Address - Zip Code:65742-0228
Practice Address - Country:US
Practice Address - Phone:417-753-2362
Practice Address - Fax:417-753-7315
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCE 5652111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor