Fuentes, Carmen Roxana
Fuentes, Carmen Roxana is an individual health care provider with primary practice located at 6161 Kempsville Cir Suite 315, Norfolk VA 23502-3932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fuentes, Carmen Roxana can be contacted via phone (757) 461-5400.Contact Information
Primary practice address
6161 Kempsville Cir Suite 315
Norfolk VA 23502-3932
Phone: (757) 461-5400
Fax: (757) 461-3305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD.202662 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 0101248444 | Virginia |
Profile Details
| NPI number | 1639361033 |
|---|---|
| LBN Legal business name | Fuentes, Carmen Roxana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2007 |
| Last updated | Sep 24th, 2010 - about 15 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 | 1639361033 | NPPES |
| Mississippi | MEDICAID | 07480774 | |
| Mississippi | MEDICAID | 1507555 |
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