Fernandez, Agustin
Fernandez, Agustin is an individual health care provider with primary practice located at 3401 Springhill Dr Ste 400, North Little Rock AR 72117-2924. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fernandez, Agustin can be contacted via phone (501) 945-3343.Contact Information
Primary practice address
3401 Springhill Dr Ste 400
North Little Rock AR 72117-2924
Phone: (501) 945-3343
Fax: (501) 945-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | N5678 | Arkansas |
Profile Details
| NPI number | 1124069752 |
|---|---|
| LBN Legal business name | Fernandez, Agustin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Aug 20th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124069752 | NPPES |
| Arkansas | Other | 4205587 | AETNA HEALTHCARE |
| Arkansas | Other | 100005435 | AETNA HEALTHCARE |
| Arkansas | Other | 51650 | AETNA HEALTHCARE |
| Arkansas | Other | 51650 | AETNA HEALTHCARE |
| Arkansas | MEDICAID | 105232001 | AETNA HEALTHCARE |
| Arkansas | Other | 51650 | AETNA HEALTHCARE |
| Arkansas | Other | 51650 | AETNA HEALTHCARE |
| Arkansas | Other | 11415000000 | AETNA HEALTHCARE |
| Arkansas | Other | 7106445040014 | AETNA HEALTHCARE |
| Arkansas | Other | 710644504005 | AETNA HEALTHCARE |
Popular Providers
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Marshall, Shirley Ann
901 Parker St , North Little Rock AR 72114-4546 -
Kellar, Stan L.
3500 Springhill Dr Suite 200 A, North Little Rock AR 72117-2950 -
Fuller, Cullen Dale
3401 Springhill Dr Suite 390, North Little Rock AR 72117-2924 -
Knapple, Whitfield L
3401 Springhill Dr Ste 400, North Little Rock AR 72117-2924 -
Colleran, John
4000 Richards Rd Suite A, North Little Rock AR 72117-2650 -
Holder, Patricia P
901 Parker St , North Little Rock AR 72114-4546 -
Wofford, Scott A
3401 Springhill Dr Ste 400, North Little Rock AR 72117-2924 -
Szwedo, Dominika Maria
3500 Springhill Dr Suite 200 A, North Little Rock AR 72117-2950