Ospina, Luis Fernando

Ospina, Luis Fernando is an sole proprietor health care provider with primary practice located at 17412 W 13 Mile Rd , Beverly Hills MI 48025-5439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Ospina, Luis Fernando can be contacted via phone (248) 258-8740.

Contact Information

Primary practice address
17412 W 13 Mile Rd Beverly Hills MI 48025-5439
Phone: (248) 258-8740
Fax: (248) 258-9329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 4301034402 Michigan

Profile Details

NPI number 1962587147
LBN Legal business name Ospina, Luis Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2006
Last updated Jan 4th, 2010 - about 15 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 1962587147 NPPES
Michigan Other 1962587147 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 2098391 BLUE CROSS BLUE SHIELD

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