Hernandez, Edward Fidel

Hernandez, Edward Fidel is an sole proprietor health care provider with primary practice located at 2523 El Portal Dr Suite 103, San Pablo CA 94806-3305. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Hernandez, Edward Fidel can be contacted via phone (510) 215-3730.

Contact Information

Primary practice address
2523 El Portal Dr Suite 103 San Pablo CA 94806-3305
Phone: (510) 215-3730
Fax: (510) 215-3731
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 387107 California

Profile Details

NPI number 1992867535
LBN Legal business name Hernandez, Edward Fidel
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Sep 4th, 2013 - about 13 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 1992867535 NPPES
California Other 387107 REGISTERED NURSE LICENSE

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