Ordaz, Fernando Edmund
Ordaz, Fernando Edmund is an individual health care provider with primary practice located at 289 Ireland Ave , Fort Knox KY 40121-5111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ordaz, Fernando Edmund can be contacted via phone (502) 244-2204.Contact Information
Primary practice address
289 Ireland Ave
Fort Knox KY 40121-5111
Phone: (502) 244-2204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25261 | Kentucky |
Profile Details
| NPI number | 1568446342 |
|---|---|
| LBN Legal business name | Ordaz, Fernando Edmund |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1568446342 | NPPES |
| Kentucky | MEDICAID | 64252612 |
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