Fernandes, Cory James

Fernandes, Cory James is an sole proprietor health care provider with primary practice located at 4481 Viking Dr , Bossier City LA 71111-7414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fernandes, Cory James can be contacted via phone (318) 626-2593.

Contact Information

Primary practice address
4481 Viking Dr Bossier City LA 71111-7414
Phone: (318) 626-2593
Fax: (318) 399-7716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X T4919 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 341893 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1952892895
LBN Legal business name Fernandes, Cory James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2018
Last updated Apr 9th, 2025 - about last year

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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