Bercasio, Roland M

Bercasio, Roland M is an individual health care provider with primary practice located at 11803 Jefferson Ave Ste 100, Newport News VA 23606-2565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bercasio, Roland M can be contacted via phone (757) 594-1840.

Contact Information

Primary practice address
11803 Jefferson Ave Ste 100 Newport News VA 23606-2565
Phone: (757) 594-1840
Fax: (757) 275-9785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101054181 Virginia

Profile Details

NPI number 1396710612
LBN Legal business name Bercasio, Roland M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Oct 22nd, 2013 - about 11 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 1396710612 NPPES
Virginia MEDICAID 005632994

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