Hernandez, Miguel R
Hernandez, Miguel R is an individual health care provider with primary practice located at 1030 W Gordon Ave Ste A, Albany GA 31701-4514. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hernandez, Miguel R can be contacted via phone (229) 432-9555.Contact Information
Primary practice address
1030 W Gordon Ave Ste A
Albany GA 31701-4514
Phone: (229) 432-9555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5273 | Alabama |
| Dental Providers / General Practice | 1223G0001X | DN013292 | Georgia |
Profile Details
| NPI number | 1710099817 |
|---|---|
| LBN Legal business name | Hernandez, Miguel R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 8th, 2011 - about 13 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 | 1710099817 | NPPES |
| Alabama | MEDICAID | 009933951 | |
| Alabama | MEDICAID | 009935939 | |
| Alabama | MEDICAID | 009976865 | |
| Alabama | MEDICAID | 009927125 | |
| Alabama | MEDICAID | 129513623A |
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