Berardi, Anthony Louis
Berardi, Anthony Louis is an sole proprietor health care provider with primary practice located at 300 S Saint Louis Blvd Suite 202, South Bend IN 46617-3043. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berardi, Anthony Louis can be contacted via phone (574) 232-1405.Contact Information
Primary practice address
300 S Saint Louis Blvd Suite 202
South Bend IN 46617-3043
Phone: (574) 232-1405
Fax: (574) 232-0124
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20010290A | Indiana |
Profile Details
NPI number | 1316995095 |
---|---|
LBN Legal business name | Berardi, Anthony Louis |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 4th, 2006 |
Last updated | Jun 24th, 2016 - about 8 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 | 1316995095 | NPPES |
Indiana | MEDICAID | 100095590 |
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