Hernandez, Maridel Aileen
Hernandez, Maridel Aileen is an sole proprietor health care provider with primary practice located at 19603 E 8 Mile Rd , Saint Clair Shores MI 48080-1655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Hernandez, Maridel Aileen can be contacted via phone (586) 445-7900.Contact Information
Primary practice address
19603 E 8 Mile Rd
Saint Clair Shores MI 48080-1655
Phone: (586) 445-7900
Fax: (586) 445-7940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101012021 | Michigan |
Profile Details
| NPI number | 1023013711 |
|---|---|
| LBN Legal business name | Hernandez, Maridel Aileen |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Oct 19th, 2009 - about 15 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 | 1023013711 | NPPES |
| Michigan | Other | 1158213464 | BCBS OF MI |
| Michigan | Other | 0E02258 | BCBS OF MI |
| Michigan | MEDICAID | 4869383 | BCBS OF MI |
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