Hernandez, Adrienne A

Hernandez, Adrienne A is an individual health care provider with primary practice located at 3237 Voyager Dr , Green Bay WI 54311-8349. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hernandez, Adrienne A can be contacted via phone (920) 468-8288.

Contact Information

Primary practice address
3237 Voyager Dr Green Bay WI 54311-8349
Phone: (920) 468-8288
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 14420-24 Wisconsin

Profile Details

NPI number 1699258871
LBN Legal business name Hernandez, Adrienne A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2018
Last updated Dec 28th, 2021 - 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 1699258871 NPPES
Wisconsin MEDICAID 100082289

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