Berna, Zoe D

Berna, Zoe D is an individual health care provider with primary practice located at 721 River Dr Suite A, Fort Bragg CA 95437-5403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berna, Zoe D can be contacted via phone (707) 961-4631.

Contact Information

Primary practice address
721 River Dr Suite A Fort Bragg CA 95437-5403
Fax: (707) 964-1192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80888 California

Profile Details

NPI number 1740377118
LBN Legal business name Berna, Zoe D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Oct 6th, 2016 - about 8 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 1740377118 NPPES
California MEDICAID 00A808880

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