Hernandez Diaz, Maikel

Hernandez Diaz, Maikel is an sole proprietor health care provider with primary practice located at 3435 Karen Ave , Kingman AZ 86401-6485. 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 Diaz, Maikel can be contacted via phone (305) 962-2690.

Contact Information

Primary practice address
3435 Karen Ave Kingman AZ 86401-6485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 9107389 Florida

Profile Details

NPI number 1023442985
LBN Legal business name Hernandez Diaz, Maikel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2013
Last updated May 21st, 2019 - about 6 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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