Hernandez, Juan O

Hernandez, Juan O is an individual health care provider with primary practice located at 300 Health Park Dr Ste 301 , Owosso MI 48867-1293. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Hernandez, Juan O can be contacted via phone (989) 723-3613.

Contact Information

Primary practice address
300 Health Park Dr Ste 301 Owosso MI 48867-1293
Fax: (517) 364-9605
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301054500 Michigan

Profile Details

NPI number 1336147198
LBN Legal business name Hernandez, Juan O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Sep 19th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1336147198 NPPES
Michigan MEDICAID 4456946

Popular Providers