Hernandez, Bryan Alexander

Hernandez, Bryan Alexander is an sole proprietor health care provider with primary practice located at 2400 S Avenue A , Yuma AZ 85364-7127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Hernandez, Bryan Alexander can be contacted via phone (928) 334-2000.

Contact Information

Primary practice address
2400 S Avenue A Yuma AZ 85364-7127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA18782 California

Profile Details

NPI number 1114075421
LBN Legal business name Hernandez, Bryan Alexander
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
Last updated Jun 2nd, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114075421 NPPES
California MEDICAID PA18782
California MEDICAID 1114075421

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