Fernandez, Yvette
Fernandez, Yvette is an individual health care provider with primary practice located at 500 Chase Pkwy Third Floor, Waterbury CT 06708-3346. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fernandez, Yvette can be contacted via phone (203) 754-5504.Contact Information
Primary practice address
500 Chase Pkwy Third Floor
Waterbury CT 06708-3346
Phone: (203) 754-5504
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 046758 | Connecticut |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 046758 | Connecticut |
Profile Details
| NPI number | 1114968302 |
|---|---|
| LBN Legal business name | Fernandez, Yvette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Dec 3rd, 2009 - about 16 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 | 1114968302 | NPPES |
| Connecticut | MEDICAID | 008004330 | |
| Connecticut | Other | 010046758CT01 |
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