Berardelli, David

Berardelli, David is an sole proprietor health care provider with primary practice located at 16607 Blanco Road Suite 303, San Antonio TX 78232-1940. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Berardelli, David can be contacted via phone (361) 230-0466.

Contact Information

Primary practice address
16607 Blanco Road Suite 303 San Antonio TX 78232-1940
Phone: (361) 230-0466
Fax: (210) 493-9504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 209-10982 Texas

Profile Details

NPI number 1659601946
LBN Legal business name Berardelli, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2010
Last updated Jan 8th, 2010 - about 14 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 1659601946 NPPES
Texas Other 209-10982 TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #
Texas Other C21287 TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL #

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