Fernandez, Adolfo Zacarias
Fernandez, Adolfo Zacarias is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fernandez, Adolfo Zacarias can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax: (336) 716-6637
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 200300597 | North Carolina |
Profile Details
| NPI number | 1457336513 |
|---|---|
| LBN Legal business name | Fernandez, Adolfo Zacarias |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Nov 12th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457336513 | NPPES |
| Virginia | MEDICAID | 10012252 | |
| Virginia | MEDICAID | 2005465000 | |
| Virginia | Other | 134GC | |
| Virginia | MEDICAID | 89134GC | |
| Virginia | Other | 802973 | |
| Virginia | Other | 7989604 | |
| Virginia | Other | C6800 |
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