Fern, Robert J

Fern, Robert J is an individual health care provider with primary practice located at 108 Community Dr , Waynesboro VA 22980-9505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fern, Robert J can be contacted via phone (540) 949-0118.

Contact Information

Primary practice address
108 Community Dr Waynesboro VA 22980-9505
Phone: (540) 949-0118
Fax: (540) 949-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101231252 Virginia

Profile Details

NPI number 1518944842
LBN Legal business name Fern, Robert J
Credentials M.D. PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Aug 13th, 2012 - about 14 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 1518944842 NPPES
Virginia MEDICAID 006718868
Virginia Other 10008691
Virginia Other 1953974
Virginia Other 426927
Virginia Other 199585
Virginia Other 0169026

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