Polistico, Jordan Micah Fernandez

Polistico, Jordan Micah Fernandez is an individual health care provider with primary practice located at 1102 Monroe St Sw , Huntsville AL 35801-5029. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Polistico, Jordan Micah Fernandez can be contacted via phone (256) 469-7200.

Contact Information

Primary practice address
1102 Monroe St Sw Huntsville AL 35801-5029
Phone: (256) 469-7200
Fax: (256) 469-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 46768 Alabama

Profile Details

NPI number 1497273502
LBN Legal business name Polistico, Jordan Micah Fernandez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2017
Last updated Sep 29th, 2023 - about last year

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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