Jara, Fernando Mora

Jara, Fernando Mora is an individual health care provider with primary practice located at G4568 Beecher Road , Flint MI 48532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Jara, Fernando Mora can be contacted via phone (810) 732-8621.

Contact Information

Primary practice address
G4568 Beecher Road Flint MI 48532
Phone: (810) 732-8621
Fax: (810) 732-8676
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X FJ037807 Michigan

Profile Details

NPI number 1699737551
LBN Legal business name Jara, Fernando Mora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699737551 NPPES
Michigan MEDICAID 4447517

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