Hernicz, Michael R.

Hernicz, Michael R. is an sole proprietor health care provider with primary practice located at 4759 Lakeview Dr Suite 103, Sebring FL 33870-2005. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Hernicz, Michael R. can be contacted via phone (863) 402-5600.

Contact Information

Primary practice address
4759 Lakeview Dr Suite 103 Sebring FL 33870-2005
Phone: (863) 402-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704104020 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 03992 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP985972 Florida

Profile Details

NPI number 1790730943
LBN Legal business name Hernicz, Michael R.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2006
Last updated Dec 7th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790730943 NPPES
Michigan Other 4704104020 LICENSE NUMBER

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