Delara, Carlos Fernandez
Delara, Carlos Fernandez is an individual health care provider with primary practice located at 122 12Th Street Ext , Princeton WV 24740-2352. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Delara, Carlos Fernandez can be contacted via phone (304) 487-7349.Contact Information
Primary practice address
122 12Th Street Ext
Princeton WV 24740-2352
Phone: (304) 487-7349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 10126 | West Virginia |
Profile Details
| NPI number | 1215936091 |
|---|---|
| LBN Legal business name | Delara, Carlos Fernandez |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jan 27th, 2009 - about 15 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 | 1215936091 | NPPES |
| Other | 220033106 | RAILROAD MEDICARE | |
| MEDICAID | 0104624000 | RAILROAD MEDICARE |
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