Ravessoud, Fernando
Ravessoud, Fernando is an individual health care provider with primary practice located at 880 S Telshor Blvd Ste 201 , Las Cruces NM 88011-8682. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ravessoud, Fernando can be contacted via phone (575) 222-0037.Contact Information
Primary practice address
880 S Telshor Blvd Ste 201
Las Cruces NM 88011-8682
Phone: (575) 222-0037
Fax: (575) 571-4592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD2011-0758 | New Mexico |
Profile Details
| NPI number | 1235125634 |
|---|---|
| LBN Legal business name | Ravessoud, Fernando |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Nov 18th, 2022 - about 2 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 | 1235125634 | NPPES |
| New Mexico | MEDICAID | 95425578 |
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