Fernando, Norman M
Fernando, Norman M is an sole proprietor health care provider with primary practice located at 6619 N 19Th Ave Ste B, Phoenix AZ 85015-1631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fernando, Norman M can be contacted via phone (602) 254-5777.Contact Information
Primary practice address
6619 N 19Th Ave Ste B
Phoenix AZ 85015-1631
Phone: (602) 254-5777
Fax: (602) 253-9771
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 15894 | Arizona |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15894 | Arizona |
Profile Details
NPI number | 1023001963 |
---|---|
LBN Legal business name | Fernando, Norman M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 25th, 2005 |
Last updated | Dec 1st, 2015 - about 9 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 | 1023001963 | NPPES |
Arizona | MEDICAID | 254293 |
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