Fernando, Alejandro

Fernando, Alejandro is an individual health care provider with primary practice located at 5 Morgan Hwy Ste 4 , Scranton PA 18508. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fernando, Alejandro can be contacted via phone (570) 344-3788.

Contact Information

Primary practice address
5 Morgan Hwy Ste 4 Scranton PA 18508
Phone: (570) 344-3788
Fax: (570) 969-9280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA051130 Pennsylvania

Profile Details

NPI number 1083609952
LBN Legal business name Fernando, Alejandro
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Sep 17th, 2018 - about 7 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 1083609952 NPPES
Pennsylvania Other 063355 BLUE CARE
Pennsylvania Other 50076571 BLUE CARE
Pennsylvania MEDICAID 103205621-0005 BLUE CARE

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