Bardo, Michaelene
Bardo, Michaelene is an sole proprietor health care provider with primary practice located at 5325 Faraon St , Saint Joseph MO 64506-3488. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bardo, Michaelene can be contacted via phone (816) 271-7086.Contact Information
Primary practice address
5325 Faraon St
Saint Joseph MO 64506-3488
Phone: (816) 271-7086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2006015267 | Missouri |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2006015267 | Missouri |
Profile Details
| NPI number | 1881610913 |
|---|---|
| LBN Legal business name | Bardo, Michaelene |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Mar 30th, 2017 - about 7 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 | 1881610913 | NPPES |
| Missouri | Other | P00325865 | RR MEDICARE |
| Missouri | Other | 2006015267 | RR MEDICARE |
| Missouri | MEDICAID | 200403050A | RR MEDICARE |
| Missouri | MEDICAID | 201434701 | RR MEDICARE |
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