Fernando, Norman M

Fernando, Norman M is an sole proprietor health care provider with primary practice located at 6619 N 19Th Ave Ste B, Phoenix AZ 85015-1631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fernando, Norman M can be contacted via phone (602) 254-5777.

Contact Information

Primary practice address
6619 N 19Th Ave Ste B Phoenix AZ 85015-1631
Phone: (602) 254-5777
Fax: (602) 253-9771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 15894 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 15894 Arizona

Profile Details

NPI number 1023001963
LBN Legal business name Fernando, Norman M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2005
Last updated Dec 1st, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023001963 NPPES
Arizona MEDICAID 254293

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