Hernandez Acosta, Pedro R
Hernandez Acosta, Pedro R is an sole proprietor health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Hernandez Acosta, Pedro R can be contacted via phone (608) 251-6100.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 67463-20 | Wisconsin |
Profile Details
| NPI number | 1184015612 |
|---|---|
| LBN Legal business name | Hernandez Acosta, Pedro R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2015 |
| Last updated | Nov 23rd, 2020 - about 6 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 | 1184015612 | NPPES |
| Wisconsin | MEDICAID | 1184015612 |
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