Hernandes Pineda, Victor Manuel
Hernandes Pineda, Victor Manuel is an individual health care provider with primary practice located at 9537 Gravelly Lake Dr Sw , Lakewood WA 98499-1513. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Hernandes Pineda, Victor Manuel can be contacted via phone (253) 984-2000.Contact Information
Primary practice address
9537 Gravelly Lake Dr Sw
Lakewood WA 98499-1513
Phone: (253) 984-2000
Fax: (253) 815-9797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA61012242 | Washington |
Profile Details
| NPI number | 1447731237 |
|---|---|
| LBN Legal business name | Hernandes Pineda, Victor Manuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2018 |
| Last updated | Dec 4th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447731237 | NPPES |
| Washington | MEDICAID | 2147900 |
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