Fernandez, Joss D
Fernandez, Joss D is an individual health care provider with primary practice located at 1605 E Broadway Ste 210 , Columbia MO 65201-8023. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Fernandez, Joss D can be contacted via phone (573) 815-4130.Contact Information
Primary practice address
1605 E Broadway Ste 210
Columbia MO 65201-8023
Phone: (573) 815-4130
Fax: (573) 815-4135
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 37854 | Iowa |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 37854 | Iowa |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 37854 | Iowa |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 39993 | Tennessee |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 2012006733 | Missouri |
Profile Details
| NPI number | 1235173642 |
|---|---|
| LBN Legal business name | Fernandez, Joss D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Sep 22nd, 2021 - about 3 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 | 1235173642 | NPPES |
| Tennessee | MEDICAID | 3825158 | |
| Tennessee | Other | 62-1719735 | |
| Tennessee | MEDICAID | 09016196 | |
| Tennessee | MEDICAID | 162992001 |
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