Bereda, David Edward
Bereda, David Edward is an sole proprietor health care provider with primary practice located at 1034 S Brentwood Blvd Ste 530 , Richmond Heights MO 63117-1271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bereda, David Edward can be contacted via phone (314) 834-6707.Contact Information
Primary practice address
1034 S Brentwood Blvd Ste 530
Richmond Heights MO 63117-1271
Phone: (314) 834-6707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036149289 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 828 | Nebraska |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2022045941 | Missouri |
Profile Details
| NPI number | 1639319387 |
|---|---|
| LBN Legal business name | Bereda, David Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 20th, 2009 |
| Last updated | Feb 2nd, 2023 - about last year |
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 | 1639319387 | NPPES |
| Missouri | Other | 2022045941 | FAMILY MEDICINE |
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