Fernando, Lionel Gregory
Fernando, Lionel Gregory is an sole proprietor health care provider with primary practice located at 5617 Maxwell Pl , Wilmington NC 28409-2966. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fernando, Lionel Gregory can be contacted via phone (910) 742-9243.Contact Information
Primary practice address
5617 Maxwell Pl
Wilmington NC 28409-2966
Phone: (910) 742-9243
Fax: (888) 746-1787
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 25796 | North Carolina |
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | 25796 | North Carolina |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 25796 | North Carolina |
Profile Details
NPI number | 1013083146 |
---|---|
LBN Legal business name | Fernando, Lionel Gregory |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2006 |
Last updated | Jun 9th, 2014 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013083146 | NPPES |
North Carolina | MEDICAID | 8931711 | |
North Carolina | Other | 31705 |
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