Hernandez, Rafael O.

Hernandez, Rafael O. is an individual health care provider with primary practice located at 120 Executive Center Pkwy , Fredericksburg VA 22401-3100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hernandez, Rafael O. can be contacted via phone (540) 374-5200.

Contact Information

Primary practice address
120 Executive Center Pkwy Fredericksburg VA 22401-3100
Phone: (540) 374-5200
Fax: (540) 374-1164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101048832 Virginia

Profile Details

NPI number 1982667812
LBN Legal business name Hernandez, Rafael O.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated May 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 1982667812 NPPES
Virginia MEDICAID 5611865

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