Fernald, Sidney Stewart

Fernald, Sidney Stewart is an sole proprietor health care provider with primary practice located at 2311 Monaco Dr , Mission TX 78573-8471. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Fernald, Sidney Stewart can be contacted via phone (956) 821-6163.

Contact Information

Primary practice address
2311 Monaco Dr Mission TX 78573-8471
Phone: (956) 821-6163
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC6861 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 790354 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP-121523 Texas

Profile Details

NPI number 1396824413
LBN Legal business name Fernald, Sidney Stewart
Credentials RN, APN, NP-C, D.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2006
Last updated Aug 25th, 2021 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396824413 NPPES
Texas Other DC6861 LICENCE NUMBER
Texas Other 742920952 LICENCE NUMBER
Texas MEDICAID 002110701 LICENCE NUMBER
Texas Other 8A1120 LICENCE NUMBER

Popular Providers