Fernan, Maximo Lebumfacil

Fernan, Maximo Lebumfacil is an sole proprietor health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Fernan, Maximo Lebumfacil can be contacted via phone (918) 683-0753.

Contact Information

Primary practice address
350 S 40Th St Muskogee OK 74401-4915
Fax: (866) 397-7556
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19702 Oklahoma

Profile Details

NPI number 1134172083
LBN Legal business name Fernan, Maximo Lebumfacil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jul 24th, 2015 - about 11 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 1134172083 NPPES
Oklahoma MEDICAID 100260010A

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