Bermudez, Jacob E

Bermudez, Jacob E is an individual health care provider with primary practice located at 5225 23Rd Ave S , Fargo ND 58104-7927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bermudez, Jacob E can be contacted via phone (630) 945-5683.

Contact Information

Primary practice address
5225 23Rd Ave S Fargo ND 58104-7927
Phone: (630) 945-5683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036168192 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X RL15850 North Dakota

Profile Details

NPI number 1679134761
LBN Legal business name Bermudez, Jacob E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2019
Last updated May 21st, 2024 - about 4 months 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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