Bermejo, Carlos
Bermejo, Carlos is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bermejo, Carlos can be contacted via phone (607) 547-3175.Contact Information
Primary practice address
1 Atwell Rd
Cooperstown NY 13326-1301
Phone: (607) 547-3175
Fax: (607) 547-6553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | L3578 | Texas |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 248945 | New York |
Profile Details
| NPI number | 1396852463 |
|---|---|
| LBN Legal business name | Bermejo, Carlos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 21st, 2011 - about 13 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 | 1396852463 | NPPES |
| Texas | MEDICAID | 166962401 |
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