Hernandez, Jesus

Hernandez, Jesus is an individual health care provider with primary practice located at 4475 S Eastern Ave , Las Vegas NV 89119-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Hernandez, Jesus can be contacted via phone (702) 669-5869.

Contact Information

Primary practice address
4475 S Eastern Ave Las Vegas NV 89119-7826
Phone: (702) 669-5869
Fax: (401) 762-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 10766 Rhode Island
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 12102 Nevada

Profile Details

NPI number 1982618476
LBN Legal business name Hernandez, Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Feb 14th, 2014 - about 12 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 1982618476 NPPES
Rhode Island MEDICAID 7009548
Rhode Island MEDICAID 100511099
Rhode Island MEDICAID 1982618476

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