Fernandez, Rosita M
Fernandez, Rosita M is an individual health care provider with primary practice located at 318 Margaret Ct , Burlington WI 53105-2330. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Fernandez, Rosita M can be contacted via phone (812) 201-3912.Contact Information
Primary practice address
318 Margaret Ct
Burlington WI 53105-2330
Phone: (812) 201-3912
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3535 | Wisconsin |
Profile Details
| NPI number | 1376062851 |
|---|---|
| LBN Legal business name | Fernandez, Rosita M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2017 |
| Last updated | Jan 8th, 2022 - 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 | 1376062851 | NPPES |
| Wisconsin | MEDICAID | 1376062851 | |
| Wisconsin | MEDICAID | 300007198IN |
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