Hernandez, Jacob Andrew

Hernandez, Jacob Andrew is an sole proprietor health care provider with primary practice located at 11750 Lincoln St , Northglenn CO 80233-1107. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hernandez, Jacob Andrew can be contacted via phone (303) 452-9133.

Contact Information

Primary practice address
11750 Lincoln St Northglenn CO 80233-1107
Phone: (303) 452-9133
Fax: (303) 452-9133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACB 6822 Colorado

Profile Details

NPI number 1912223355
LBN Legal business name Hernandez, Jacob Andrew
Credentials CAC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2010
Last updated Apr 9th, 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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