Fernandez Baca Vaca, Guadalupe

Fernandez Baca Vaca, Guadalupe is an individual health care provider with primary practice located at 11100 Euclid Ave Department Of Neurology Mail Stop Hh 5040, Cleveland OH 44106-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fernandez Baca Vaca, Guadalupe can be contacted via phone (216) 844-5550.

Contact Information

Primary practice address
11100 Euclid Ave Department Of Neurology Mail Stop Hh 5040 Cleveland OH 44106-1716
Phone: (216) 844-5550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35.125959 Ohio

Profile Details

NPI number 1427347996
LBN Legal business name Fernandez Baca Vaca, Guadalupe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Dec 18th, 2020 - about 5 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 1427347996 NPPES
Ohio MEDICAID 0134499

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