Salazar Hernandez, Hadeily Evangelina

Salazar Hernandez, Hadeily Evangelina is an individual health care provider with primary practice located at 1509 State St , La Porte IN 46350-3115. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Salazar Hernandez, Hadeily Evangelina can be contacted via phone (219) 324-3431.

Contact Information

Primary practice address
1509 State St La Porte IN 46350-3115
Phone: (219) 324-3431
Fax: (219) 362-3802
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01074872A Indiana

Profile Details

NPI number 1033463708
LBN Legal business name Salazar Hernandez, Hadeily Evangelina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2012
Last updated Sep 16th, 2020 - about 5 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 1033463708 NPPES
Indiana MEDICAID 201297410
Indiana Other 151020036

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