Bardelas, Jose Antonio
Bardelas, Jose Antonio is an individual health care provider with primary practice located at 100 Westwood Avenue , High Point NC 27262-4320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Bardelas, Jose Antonio can be contacted via phone (336) 883-1393.Contact Information
Primary practice address
100 Westwood Avenue
High Point NC 27262-4320
Phone: (336) 883-1393
Fax: (336) 883-7517
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21622 | North Carolina |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 21622 | North Carolina |
Profile Details
| NPI number | 1265490841 |
|---|---|
| LBN Legal business name | Bardelas, Jose Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2006 |
| Last updated | Aug 10th, 2021 - about 3 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 | 1265490841 | NPPES |
| Other | 0200001 | UNITED HEALTHCARE | |
| MEDICAID | 8913057 | UNITED HEALTHCARE | |
| Other | 13057 | UNITED HEALTHCARE |
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