Fernandez, Eduardo W

Fernandez, Eduardo W is an individual health care provider with primary practice located at 1430 Highway 96 E , White Bear Lake MN 55110-3653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fernandez, Eduardo W can be contacted via phone (651) 653-2100.

Contact Information

Primary practice address
1430 Highway 96 E White Bear Lake MN 55110-3653
Phone: (651) 653-2100
Fax: (651) 653-2125
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 56869 Minnesota

Profile Details

NPI number 1336348218
LBN Legal business name Fernandez, Eduardo W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Mar 7th, 2023 - about last year

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 1336348218 NPPES
Missouri MEDICAID 204466007

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