Escovar, Fernando S.
Escovar, Fernando S. is an individual health care provider with primary practice located at 2120 Rieth Blvd Ste C , Goshen IN 46526-5858. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Escovar, Fernando S. can be contacted via phone (574) 875-6911.Contact Information
Primary practice address
2120 Rieth Blvd Ste C
Goshen IN 46526-5858
Phone: (574) 875-6911
Fax: (574) 875-1057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01044055A | Indiana |
Profile Details
| NPI number | 1760481402 |
|---|---|
| LBN Legal business name | Escovar, Fernando S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Apr 1st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760481402 | NPPES |
| Indiana | Other | 000000851184 | BCBS BMG GOSHEN |
| Indiana | MEDICAID | 200041830 | BCBS BMG GOSHEN |
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