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Contact Information

RUBEN FERNANDEZ JR, MD
810 W FOREST AVE
JACKSON, TN38301-3942
 Phone: 731-668-1853
 Fax: 731-664-7731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for RUBEN FERNANDEZ JR · (Male)

NPI # 1528190196
Status Active
Credentials MD
Entity Individual
Enumeration date 03/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 29604
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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