Fernando, Heshan Jude
Fernando, Heshan Jude is an individual health care provider with primary practice located at 275 Michigan St Ne , Grand Rapids MI 49503-2531. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Fernando, Heshan Jude can be contacted via phone (616) 267-7401.Contact Information
Primary practice address
275 Michigan St Ne
Grand Rapids MI 49503-2531
Phone: (616) 267-7401
Fax: (616) 267-7594
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301017923 | Michigan |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 6301017923 | Michigan |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6301017923 | Michigan |
Profile Details
| NPI number | 1942860119 |
|---|---|
| LBN Legal business name | Fernando, Heshan Jude |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2019 |
| Last updated | Dec 9th, 2024 - about 2 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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