Gonzalez-Fernandez, Federico

Gonzalez-Fernandez, Federico is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Gonzalez-Fernandez, Federico can be contacted via phone (601) 984-5017.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5017
Fax: (601) 984-5042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 225230 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 23727 Mississippi

Profile Details

NPI number 1205808342
LBN Legal business name Gonzalez-Fernandez, Federico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jan 18th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205808342 NPPES
Mississippi MEDICAID 03731244

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