Hernandez, Richard A.

Hernandez, Richard A. is an individual health care provider with primary practice located at 164 Summit Ave # C70 , Providence RI 02906-2853. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Hernandez, Richard A. can be contacted via phone (401) 793-4545.

Contact Information

Primary practice address
164 Summit Ave # C70 Providence RI 02906-2853
Phone: (401) 793-4545
Fax: (401) 793-7866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00382 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00382 Rhode Island

Profile Details

NPI number 1457328221
LBN Legal business name Hernandez, Richard A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jan 29th, 2020 - about 6 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 1457328221 NPPES
Rhode Island Other PA00382 PA LICENSE

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