Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICKIE LYNN HERNANDEZ
Active Sole ProprietorRICKIE LYNN HERNANDEZ is a Contractor healthcare provider located in BANGOR, Michigan. NPI 1215277504 is currently active in the NPPES registry. Verify at CMS.
Contractor · BANGOR, MI
Registration Details
- NPI Number
- 1215277504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2013 (13.497184109054 yrs)
- Last Updated
- Feb 22, 2013
- License
-
AF800328155 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
48617 36TH AVEBANGOR, MI, 490139791Browse MI providers · Browse ZIP 49013
- Phone
- 6164039430
- Fax
- 2694277009
- Primary Specialty
-
Contractor
171W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.