Asdell, Bernard Jay
Asdell, Bernard Jay is an sole proprietor health care provider with primary practice located at 707 N Michigan St Ste 300, South Bend IN 46601-1070. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Asdell, Bernard Jay can be contacted via phone (574) 289-0080.Contact Information
Primary practice address
707 N Michigan St Ste 300
South Bend IN 46601-1070
Phone: (574) 289-0080
Fax: (574) 287-6320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12008287 | Indiana |
Profile Details
| NPI number | 1801890520 |
|---|---|
| LBN Legal business name | Asdell, Bernard Jay |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Apr 18th, 2012 - about 12 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 | 1801890520 | NPPES |
| Indiana | MEDICAID | 100090950 |
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