Bardenheier, Jean William

Bardenheier, Jean William is an sole proprietor health care provider with primary practice located at 914 E Gladstone St , Azusa CA 91702-4747. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bardenheier, Jean William can be contacted via phone (626) 966-4506.

Contact Information

Primary practice address
914 E Gladstone St Azusa CA 91702-4747
Phone: (626) 966-4506
Fax: (626) 967-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G26965 California

Profile Details

NPI number 1780620138
LBN Legal business name Bardenheier, Jean William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Feb 21st, 2020 - about 4 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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