Hernandez, Elizabeth Lorena
Hernandez, Elizabeth Lorena is an individual health care provider with primary practice located at 4185 Summit Gate Dr , Suwanee GA 30024-6491. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Hernandez, Elizabeth Lorena can be contacted via phone (404) 578-1843.Contact Information
Primary practice address
4185 Summit Gate Dr
Suwanee GA 30024-6491
Phone: (404) 578-1843
Fax: (678) 714-1753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1376601641 |
|---|---|
| LBN Legal business name | Hernandez, Elizabeth Lorena |
| Credentials | CASE MANAGEMENT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376601641 | NPPES |
| Georgia | MEDICAID | 00957602A |
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