Fuentes, Edwin L
Fuentes, Edwin L is an sole proprietor health care provider with primary practice located at 2509 Richardson Dr Ste A , Reidsville NC 27320-5926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fuentes, Edwin L can be contacted via phone (336) 552-4274.Contact Information
Primary practice address
2509 Richardson Dr Ste A
Reidsville NC 27320-5926
Phone: (336) 552-4274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0102050134 | Virginia |
Profile Details
| NPI number | 1053360966 |
|---|---|
| LBN Legal business name | Fuentes, Edwin L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2006 |
| Last updated | Jul 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053360966 | NPPES |
| North Carolina | Other | 9701749 | STATE LICENSE NORTH CAROLINA |
| North Carolina | MEDICAID | 005641870 | STATE LICENSE NORTH CAROLINA |
Popular Providers
-
Hopper, David Hershey
2150 Nc Highway 65 , Reidsville NC 27320-9609 -
Amin, Yashika
1427 Freeway Dr , Reidsville NC 27320-7105 -
Knowlton, Stephen Dana
601 W Harrison St , Reidsville NC 27320-4621 -
Luking, Scott Alfred
520 Maple Ave Ste B, Reidsville NC 27320-4600 -
Fusco, Lawrence J
1818 Richardson Dr , Reidsville NC 27320-5451 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Cresenzo, Mark S
192 Cresenzo Rd , Reidsville NC 27320-9356 -
Koberlein, Junell Carol
1818 Richardson Dr Ste. A, Reidsville NC 27320-5451