Fernandez, Jose P

Fernandez, Jose P is an individual health care provider with primary practice located at 1 Lincoln Pkwy Ste 302 , Hattiesburg MS 39402-3261. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fernandez, Jose P can be contacted via phone (601) 268-5620.

Contact Information

Primary practice address
1 Lincoln Pkwy Ste 302 Hattiesburg MS 39402-3261
Phone: (601) 268-5620
Fax: (601) 268-5851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 15140 Mississippi

Profile Details

NPI number 1144230491
LBN Legal business name Fernandez, Jose P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Jun 1st, 2021 - about 4 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 1144230491 NPPES
Louisiana MEDICAID 1484091
Louisiana Other 1559337
Louisiana MEDICAID 00123815

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