Indacochea, Fernando J
Indacochea, Fernando J is an individual health care provider with primary practice located at 4401 E. Lohman Ave. Suite A, Las Cruces NM 88011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Indacochea, Fernando J can be contacted via phone (575) 532-9077.Contact Information
Primary practice address
4401 E. Lohman Ave. Suite A
Las Cruces NM 88011
Phone: (575) 532-9077
Fax: (575) 532-9221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD2012-0871 | New Mexico |
Profile Details
| NPI number | 1720089519 |
|---|---|
| LBN Legal business name | Indacochea, Fernando J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Sep 22nd, 2020 - about 5 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 | 1720089519 | NPPES |
| West Virginia | MEDICAID | 0107734000 |
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