Fernandez, John
Fernandez, John is an sole proprietor health care provider with primary practice located at 4322 50Th St Suite 1-B, Woodside NY 11377-4442. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Neurology, Chiropractic Providers / Sports Physician, Chiropractic Providers / Orthopedic. Chiropractic Providers / Neurology is his primary health care specialty. Fernandez, John can be contacted via phone (718) 424-4455.Contact Information
Primary practice address
4322 50Th St Suite 1-B
Woodside NY 11377-4442
Phone: (718) 424-4455
Fax: (718) 478-8672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | C-007735-6B | New York |
| Chiropractic Providers / Sports Physician | 111NS0005X | C-007735-6B | New York |
| Chiropractic Providers / Orthopedic | 111NX0800X | C-007735-6B | New York |
Profile Details
| NPI number | 1083734032 |
|---|---|
| LBN Legal business name | Fernandez, John |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1083734032 | NPPES |
| New York | Other | 1376750 | CIGNA HEALTHCARE |
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