Mendez, Fernando F
Mendez, Fernando F is an individual health care provider with primary practice located at 224-D Cornwall Street, Nw, Suite 202 , Leesburg VA 20176-2700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mendez, Fernando F can be contacted via phone (703) 443-8110.Contact Information
Primary practice address
224-D Cornwall Street, Nw, Suite 202
Leesburg VA 20176-2700
Phone: (703) 443-8110
Fax: (703) 443-2714
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110840623 | Virginia |
Profile Details
NPI number | 1891789426 |
---|---|
LBN Legal business name | Mendez, Fernando F |
Credentials | PA C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 9th, 2005 |
Last updated | Apr 10th, 2024 - about 8 months 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 | 1891789426 | NPPES |
Virginia | MEDICAID | 30016109960001 | |
Virginia | MEDICAID | 1891789426 |
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