Fernandez, Alicia Beatriz
Fernandez, Alicia Beatriz is an sole proprietor health care provider with primary practice located at 200 Abraham Flexner Way , Louisville KY 40202-2877. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Fernandez, Alicia Beatriz can be contacted via phone (502) 587-4011.Contact Information
Primary practice address
200 Abraham Flexner Way
Louisville KY 40202-2877
Phone: (502) 587-4011
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 48495 | Kentucky |
Profile Details
| NPI number | 1417216482 |
|---|---|
| LBN Legal business name | Fernandez, Alicia Beatriz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2012 |
| Last updated | Mar 20th, 2018 - about 8 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 | 1417216482 | NPPES |
| Kentucky | MEDICAID | 7100434690 |
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