Berardi, Dawn

Berardi, Dawn is an individual health care provider with primary practice located at 9601 Mall Rd , Morgantown WV 26501. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Berardi, Dawn can be contacted via phone (304) 983-6680.

Contact Information

Primary practice address
9601 Mall Rd Morgantown WV 26501
Fax: (304) 983-6681
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 784567 West Virginia

Profile Details

NPI number 1487754289
LBN Legal business name Berardi, Dawn
Credentials OPTICAIN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1487754289 NPPES
West Virginia MEDICAID 3810003788

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