Maridel Hernandez Internal Medicine Pc
LBN: Maridel Hernandez Internal Medicine Pc
Maridel Hernandez Internal Medicine Pc is an health care organization with primary practice located at 131 Kercheval Ave Suite 120, Grosse Pointe Farms MI 48236-3629. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Maridel Hernandez Internal Medicine Pc can be contacted via phone (313) 640-8400, or through Hernandez, Maridel via phone (313) 640-8400.
Contact Information
Primary practice address
131 Kercheval Ave Suite 120
Grosse Pointe Farms MI 48236-3629
Phone: (313) 640-8400
Fax: (313) 640-9232
Website:
Authorized official contact:
Name: Hernandez, Maridel Doctor of Osteopathy (DO)
Phone: (313) 640-8400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101012021 | Michigan |
Profile Details
| NPI number | 1366526378 |
|---|---|
| LBN Legal business name | Maridel Hernandez Internal Medicine Pc |
| DBA Doing business as | |
| Authorized official | Hernandez, Maridel Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jan 12th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366526378 | NPPES |
| Michigan | Other | 0E02258 | BCBS PIN |
| Michigan | Other | 1158213464 | BCBS PIN |
| Michigan | MEDICAID | 4869383-11 | BCBS PIN |
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