Fernandez, Leroy

Fernandez, Leroy is an individual health care provider with primary practice located at 411 S 3Rd St , Raton NM 87740-4005. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Fernandez, Leroy can be contacted via phone (575) 733-0003.

Contact Information

Primary practice address
411 S 3Rd St Raton NM 87740-4005
Fax: (575) 733-0004
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1366040610
LBN Legal business name Fernandez, Leroy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2020
Last updated Oct 9th, 2020 - about 6 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.

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