Hernandez, Mary Ellen A
Hernandez, Mary Ellen A is an individual health care provider with primary practice located at 1500 East Medical Center Dr 8Th Floor C.S.Mott Childresn Hospital, Ann Arbor MI 48109-4254. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Hernandez, Mary Ellen A can be contacted via phone (734) 763-4109.Contact Information
Primary practice address
1500 East Medical Center Dr 8Th Floor C.S.Mott Childresn Hospital
Ann Arbor MI 48109-4254
Phone: (734) 763-4109
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301030741 | Michigan |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 4301030741 | Michigan |
Profile Details
| NPI number | 1942210562 |
|---|---|
| LBN Legal business name | Hernandez, Mary Ellen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Aug 8th, 2012 - about 12 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 | 1942210562 | NPPES |
| Michigan | MEDICAID | 1271106 |
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