Hernandez, Miguel R
Hernandez, Miguel R is an individual health care provider with primary practice located at 3050 N Litchfield Rd Suite 100, Goodyear AZ 85395-7804. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hernandez, Miguel R can be contacted via phone (623) 935-5505.Contact Information
Primary practice address
3050 N Litchfield Rd Suite 100
Goodyear AZ 85395-7804
Phone: (623) 935-5505
Fax: (653) 935-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5127 | Arizona |
Profile Details
| NPI number | 1366566689 |
|---|---|
| LBN Legal business name | Hernandez, Miguel R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Oct 19th, 2007 - about 17 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 | 1366566689 | NPPES |
| Arizona | MEDICAID | 252713 |
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