Hernandez, Jesus

Hernandez, Jesus is an individual health care provider with primary practice located at 104 W 6Th St , Clare MI 48617-1409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Hernandez, Jesus can be contacted via phone (989) 386-9951.

Contact Information

Primary practice address
104 W 6Th St Clare MI 48617-1409
Phone: (989) 386-9951
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 048887 Michigan

Profile Details

NPI number 1104860030
LBN Legal business name Hernandez, Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 11th, 2011 - about 13 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 1104860030 NPPES
Michigan Other JH048887 BLUE SHIELD
Michigan MEDICAID 104081910 BLUE SHIELD
Michigan MEDICAID 102865106 BLUE SHIELD

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