Herrera Hernandez, Ivan

Herrera Hernandez, Ivan is an sole proprietor health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as his primary health care specialty. Herrera Hernandez, Ivan can be contacted via phone (209) 280-5923.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 280-5923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 40627 California

Profile Details

NPI number 1306358064
LBN Legal business name Herrera Hernandez, Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2017
Last updated Nov 2nd, 2017 - about 7 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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