Hernandez, Edward Ray

Hernandez, Edward Ray is an individual health care provider with primary practice located at 15790 Paul Vega Md Dr , Hammond LA 70403-1434. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Hernandez, Edward Ray can be contacted via phone (985) 230-6700.

Contact Information

Primary practice address
15790 Paul Vega Md Dr Hammond LA 70403-1434
Fax: (985) 230-1528
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 201200 Louisiana

Profile Details

NPI number 1568406619
LBN Legal business name Hernandez, Edward Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated May 2nd, 2017 - about 8 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 1568406619 NPPES
Mississippi MEDICAID 07677021
Mississippi Other P00606643
Mississippi MEDICAID 1409502

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