Hernandez, Rick J

Hernandez, Rick J is an individual health care provider with primary practice located at 3960 Executive Park Blvd Suite 600, Southport NC 28461-8184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hernandez, Rick J can be contacted via phone (910) 454-4343.

Contact Information

Primary practice address
3960 Executive Park Blvd Suite 600 Southport NC 28461-8184
Phone: (910) 454-4343
Fax: (910) 457-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2008-01465 North Carolina

Profile Details

NPI number 1437351806
LBN Legal business name Hernandez, Rick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Nov 5th, 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 1437351806 NPPES
North Carolina MEDICAID 5913552

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