Fernandez, Henrique Jose
Fernandez, Henrique Jose is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 150, Pueblo CO 81003-2749. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fernandez, Henrique Jose can be contacted via phone (719) 595-7680.Contact Information
Primary practice address
1600 N Grand Ave Suite 150
Pueblo CO 81003-2749
Phone: (719) 595-7680
Fax: (719) 595-7687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD-50732 | Iowa |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 98813 | Montana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | TRN11230 | Florida |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 48454 | Colorado |
Profile Details
| NPI number | 1174770614 |
|---|---|
| LBN Legal business name | Fernandez, Henrique Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Apr 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174770614 | NPPES |
| Colorado | MEDICAID | 75771055 |
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