Hernandez, Jr., Saul

Hernandez, Jr., Saul is an individual health care provider with primary practice located at 200 E Ryan Rd , Oak Creek WI 53154-4563. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hernandez, Jr., Saul can be contacted via phone (414) 570-4330.

Contact Information

Primary practice address
200 E Ryan Rd Oak Creek WI 53154-4563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3649-23 Wisconsin

Profile Details

NPI number 1538536800
LBN Legal business name Hernandez, Jr., Saul
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2015
Last updated Feb 15th, 2023 - about last year

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 1538536800 NPPES
Wisconsin MEDICAID 100047916

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