Hernandez, Jacinto A

Hernandez, Jacinto A is an individual health care provider with primary practice located at 6490 Mt Moriah Rd Ext , Memphis TN 38115-3729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hernandez, Jacinto A can be contacted via phone (901) 565-0244.

Contact Information

Primary practice address
6490 Mt Moriah Rd Ext Memphis TN 38115-3729
Phone: (901) 565-0244
Fax: (901) 565-0616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 14556 Mississippi
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R3093 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 12320 Tennessee

Profile Details

NPI number 1285603233
LBN Legal business name Hernandez, Jacinto A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 24th, 2019 - about 5 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 1285603233 NPPES
Missouri MEDICAID 208992313
Missouri MEDICAID 053526
Missouri Other 4023944
Missouri Other 1680070005
Missouri MEDICAID 3188369
Missouri MEDICAID 116432
Missouri MEDICAID 3105
Missouri Other 56207
Missouri MEDICAID 0120587
Missouri MEDICAID 102001001

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