Hernandez, Alfonso Jr

Hernandez, Alfonso Jr is an individual health care provider with primary practice located at 466 Horrocks Dr , Blackfoot ID 83221-3452. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hernandez, Alfonso Jr can be contacted via phone (307) 399-5925.

Contact Information

Primary practice address
466 Horrocks Dr Blackfoot ID 83221-3452
Phone: (307) 399-5925
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1530 Idaho

Profile Details

NPI number 1720502917
LBN Legal business name Hernandez, Alfonso Jr
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2017
Last updated Feb 22nd, 2018 - about 7 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.

Request for update

Popular Providers