De La Torre Ugarte, Fernando

De La Torre Ugarte, Fernando is an individual health care provider with primary practice located at 1902 May St , Marysville KS 66508-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. De La Torre Ugarte, Fernando can be contacted via phone (785) 562-2517.

Contact Information

Primary practice address
1902 May St Marysville KS 66508-1200
Phone: (785) 562-2517
Fax: (785) 562-5149
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 04-24207 Kansas

Profile Details

NPI number 1417963133
LBN Legal business name De La Torre Ugarte, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated May 25th, 2016 - about 9 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 1417963133 NPPES
Nebraska MEDICAID 10025891000
Nebraska Other 023499
Nebraska Other 20592
Nebraska MEDICAID 100135440A

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