Cardenas, Javier Fortunato

Cardenas, Javier Fortunato is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 304, Phoenix AZ 85013-4419. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Cardenas, Javier Fortunato can be contacted via phone (602) 406-4323.

Contact Information

Primary practice address
222 W Thomas Rd Suite 304 Phoenix AZ 85013-4419
Phone: (602) 406-4323
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 81042 Arizona
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 36579 Arizona

Profile Details

NPI number 1447445440
LBN Legal business name Cardenas, Javier Fortunato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Aug 3rd, 2020 - about 4 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 1447445440 NPPES
Arizona MEDICAID 259914

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