Fernando, Gary Patrick

Fernando, Gary Patrick is an individual health care provider with primary practice located at 1200 W State St , Rockford IL 61102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fernando, Gary Patrick can be contacted via phone (815) 490-1600.

Contact Information

Primary practice address
1200 W State St Rockford IL 61102
Phone: (815) 490-1600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 257716 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036128459 Illinois

Profile Details

NPI number 1013188408
LBN Legal business name Fernando, Gary Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated Jun 4th, 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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