Fernandez, Robert

Fernandez, Robert is an individual health care provider with primary practice located at 800 Medical Center Dr , Fairmont MN 56031-4575. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fernandez, Robert can be contacted via phone (507) 238-8555.

Contact Information

Primary practice address
800 Medical Center Dr Fairmont MN 56031-4575
Phone: (507) 238-8555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 38613 Minnesota

Profile Details

NPI number 1114904869
LBN Legal business name Fernandez, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 9th, 2007 - about 18 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 1114904869 NPPES
Minnesota MEDICAID 00T97FE
Minnesota Other 7424
Minnesota MEDICAID 89026000
Minnesota Other HP30144
Minnesota Other 17-01033
Minnesota Other MH9041010113
Minnesota MEDICAID 976373
Minnesota Other 00T97FE
Minnesota MEDICAID 120141
Minnesota Other 705220
Minnesota Other 22694
Minnesota Other A022

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