Fernandez, Antonio I
Fernandez, Antonio I is an sole proprietor health care provider with primary practice located at 3121 N Orth Windsong , Prescott Valley AZ 86314. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Fernandez, Antonio I can be contacted via phone (928) 533-3717.Contact Information
Primary practice address
3121 N Orth Windsong
Prescott Valley AZ 86314
Phone: (928) 533-3717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 11591 | Arizona |
Profile Details
| NPI number | 1023181377 |
|---|---|
| LBN Legal business name | Fernandez, Antonio I |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1023181377 | NPPES |
| Arizona | MEDICAID | 926446 |
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