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
Phone: (989) 723-3613
Fax: (517) 364-9605
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336147198 | NPPES |
| Michigan | MEDICAID | 4456946 |
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