Provider Demographics
NPI:1699762070
Name:HERSHMAN, DONALD E (DPM)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:E
Last Name:HERSHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 SUTTER ST
Mailing Address - Street 2:#1101
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4206
Mailing Address - Country:US
Mailing Address - Phone:415-362-1101
Mailing Address - Fax:415-362-6001
Practice Address - Street 1:450 SUTTER ST
Practice Address - Street 2:#1101
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4206
Practice Address - Country:US
Practice Address - Phone:415-362-1101
Practice Address - Fax:415-362-6001
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2780213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT11464Medicare UPIN
CA000E27800Medicare ID - Type Unspecified