Hernandez, Clark Rafael

Hernandez, Clark Rafael is an individual health care provider with primary practice located at Three Sheridan Square , Kingsport TN 37660. 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, Clark Rafael can be contacted via phone (423) 392-6840.

Contact Information

Primary practice address
Three Sheridan Square Kingsport TN 37660
Phone: (423) 392-6840
Fax: (423) 392-6845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0000000871 Tennessee

Profile Details

NPI number 1306941372
LBN Legal business name Hernandez, Clark Rafael
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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