Fernau, Stephen P

Fernau, Stephen P is an individual health care provider with primary practice located at 39W360 Cambridge Ct , Saint Charles IL 60175-6706. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Fernau, Stephen P can be contacted via phone (630) 584-1236.

Contact Information

Primary practice address
39W360 Cambridge Ct Saint Charles IL 60175-6706
Phone: (630) 584-1236
Fax: (630) 584-1236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 141905030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041313248 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-005622 Illinois

Profile Details

NPI number 1851343123
LBN Legal business name Fernau, Stephen P
Credentials APRN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Dec 21st, 2023 - about last year

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 1851343123 NPPES
Wisconsin MEDICAID 44316900

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