Hernandez, Sergio O

Hernandez, Sergio O is an sole proprietor health care provider with primary practice located at 3985 Steve Reynolds Blvd Bldg G., Norcross GA 30093-3035. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Hernandez, Sergio O can be contacted via phone (770) 622-2532.

Contact Information

Primary practice address
3985 Steve Reynolds Blvd Bldg G. Norcross GA 30093-3035
Phone: (770) 622-2532
Fax: (770) 622-2534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03810 Georgia

Profile Details

NPI number 1952469207
LBN Legal business name Hernandez, Sergio O
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Nov 17th, 2009 - about 17 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 1952469207 NPPES
Georgia MEDICAID 00811148C
Georgia MEDICAID 00811148E

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