Fernandes, Karl Shane
Fernandes, Karl Shane is an individual health care provider with primary practice located at 1661 Holland Rd Suite 200, Maumee OH 43537. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fernandes, Karl Shane can be contacted via phone (419) 843-7800.Contact Information
Primary practice address
1661 Holland Rd Suite 200
Maumee OH 43537
Phone: (419) 843-7800
Fax: (419) 843-3444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 35072158F | Ohio |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 35072158 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35072158F | Ohio |
Profile Details
| NPI number | 1497736441 |
|---|---|
| LBN Legal business name | Fernandes, Karl Shane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Jun 15th, 2022 - about 2 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 | 1497736441 | NPPES |
| Ohio | MEDICAID | 2032286 | |
| Ohio | Other | 81000658 |
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