Bermudez, Jose A

Bermudez, Jose A is an individual health care provider with primary practice located at 301 Hall St , Monroe LA 71201-7526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bermudez, Jose A can be contacted via phone (318) 966-6565.

Contact Information

Primary practice address
301 Hall St Monroe LA 71201-7526
Fax: (318) 966-6566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 05360R Louisiana

Profile Details

NPI number 1386794337
LBN Legal business name Bermudez, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 13th, 2021 - about 3 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 1386794337 NPPES
Louisiana MEDICAID 1312011

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