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
Phone: (810) 990-9312
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1790156859 | NPPES |
| Michigan | MEDICAID | 86663636 |
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