Hernandez, Matthew
Hernandez, Matthew is an individual health care provider with primary practice located at 4011 Barbara Loop Se Ste 207 , Rio Rancho NM 87124-1041. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Hernandez, Matthew can be contacted via phone (505) 865-3350.Contact Information
Primary practice address
4011 Barbara Loop Se Ste 207
Rio Rancho NM 87124-1041
Phone: (505) 865-3350
Fax: (505) 865-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1639486178 |
|---|---|
| LBN Legal business name | Hernandez, Matthew |
| Credentials | Certified Social Worker (CSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 3rd, 2010 |
| Last updated | Sep 3rd, 2010 - 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 | 1639486178 | NPPES |
| New Mexico | MEDICAID | 44842 |
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