Bercier, John Theodore
Bercier, John Theodore is an individual health care provider with primary practice located at 3212 Enterprise Blvd , Lake Charles LA 70601. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bercier, John Theodore can be contacted via phone (337) 478-6690.Contact Information
Primary practice address
3212 Enterprise Blvd
Lake Charles LA 70601
Phone: (337) 478-6690
Fax: (337) 477-7791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4163 | Louisiana |
Profile Details
| NPI number | 1366567653 |
|---|---|
| LBN Legal business name | Bercier, John Theodore |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366567653 | NPPES |
| Louisiana | MEDICAID | 1841633 |
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