Fernandes, Michael

Fernandes, Michael is an individual health care provider with primary practice located at 1130 Mcdermott Dr , West Chester PA 19380-4022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Fernandes, Michael can be contacted via phone (610) 430-3545.

Contact Information

Primary practice address
1130 Mcdermott Dr West Chester PA 19380-4022
Fax: (610) 430-3547
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X TPT021965 Pennsylvania

Profile Details

NPI number 1972026003
LBN Legal business name Fernandes, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2017
Last updated Jul 20th, 2017 - about 8 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 1972026003 NPPES
Pennsylvania Other TPT021964 PHYSICAL THERAPY

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