Fernandez, Susan Rizal

Fernandez, Susan Rizal is an individual health care provider with primary practice located at 2621 W Horizon Ridge Pkwy #100, Henderson NV 89052-2895. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fernandez, Susan Rizal can be contacted via phone (702) 263-1908.

Contact Information

Primary practice address
2621 W Horizon Ridge Pkwy #100 Henderson NV 89052-2895
Fax: (702) 263-0195
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9740 Nevada

Profile Details

NPI number 1477669885
LBN Legal business name Fernandez, Susan Rizal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 9th, 2015 - about 11 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 1477669885 NPPES
Nevada MEDICAID 003102477

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