Hernandez, Steven M
Hernandez, Steven M is an individual health care provider with primary practice located at 8000 Melton Rd , Gary IN 46403-3114. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Hernandez, Steven M can be contacted via phone (219) 938-4651.Contact Information
Primary practice address
8000 Melton Rd
Gary IN 46403-3114
Phone: (219) 938-4651
Fax: (219) 938-4679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CII-2100 | Indiana |
Profile Details
| NPI number | 1780230581 |
|---|---|
| LBN Legal business name | Hernandez, Steven M |
| Credentials | M,A,T,S, , CADAC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2019 |
| Last updated | Aug 16th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780230581 | NPPES |
| Indiana | MEDICAID | 18414112996 |
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