Fernando, Israel V
Fernando, Israel V is an sole proprietor health care provider with primary practice located at 3709 16Th St , Moline IL 61265-7208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Fernando, Israel V can be contacted via phone (309) 797-2713.Contact Information
Primary practice address
3709 16Th St
Moline IL 61265-7208
Phone: (309) 797-2713
Fax: (309) 797-9558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-101791 | Illinois |
Profile Details
| NPI number | 1558473850 |
|---|---|
| LBN Legal business name | Fernando, Israel V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 9th, 2016 - about 9 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 | 1558473850 | NPPES |
| Iowa | MEDICAID | 2252064 |
Popular Providers
-
Blackhart, Bret S
640 W Moana Ln Ste 2, Reno NV 89509-4857 -
Miniter, Una Clare
600 John Deere Rd Ste 200 , Moline IL 61265-6897 -
Biren, Catherine A
1324 Nelson Ave Ste B, Modesto CA 95350-5341 -
Lindman, Barbara Ann
600 John Deere Rd Suite 200, Moline IL 61265-6869 -
Quinby, Gary E
600 John Deere Rd Suite 200, Moline IL 61265-6869 -
Payne, Amy Ruth
107 Haywood Park Dr , Clyde NC 28721 -
Poesch, Donna Lynne
1302 7Th St Suite 202, Moline IL 61265-2900 -
Gette, Michael T
2201 Forest Hills Dr , Harrisburg PA 17112-1089