Zepeda, Fernando A

Zepeda, Fernando A is an individual health care provider with primary practice located at 1009 Novus Dr Ste 2 , Johnson City TN 37604-8237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Zepeda, Fernando A can be contacted via phone (423) 283-0776.

Contact Information

Primary practice address
1009 Novus Dr Ste 2 Johnson City TN 37604-8237
Fax: (423) 968-5697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD0000029134 Tennessee

Profile Details

NPI number 1477553303
LBN Legal business name Zepeda, Fernando A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jul 27th, 2021 - about 3 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 1477553303 NPPES
Tennessee MEDICAID 3868388

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