Irizarry, Fernando

Irizarry, Fernando is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Irizarry, Fernando can be contacted via phone (360) 923-7000.

Contact Information

Primary practice address
700 Lilly Rd Ne Olympia WA 98506-5115
Fax: (360) 923-7199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00044534 Washington

Profile Details

NPI number 1851456081
LBN Legal business name Irizarry, Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851456081 NPPES
Washington MEDICAID 8440810

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