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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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