Hernandez, Laticia

Hernandez, Laticia is an sole proprietor health care provider with primary practice located at 3139 Electric Ave Apt 3 , Port Huron MI 48060-8103. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hernandez, Laticia can be contacted via phone (810) 990-9312.

Contact Information

Primary practice address
3139 Electric Ave Apt 3 Port Huron MI 48060-8103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X H 655 488 785 108 Michigan

Profile Details

NPI number 1790156859
LBN Legal business name Hernandez, Laticia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2015
Last updated Oct 15th, 2015 - about 9 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 1790156859 NPPES
Michigan MEDICAID 86663636

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