Bernacki, Gwen

Bernacki, Gwen is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Bernacki, Gwen can be contacted via phone (206) 598-4300.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Phone: (206) 598-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD6094847 Washington
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD6094847 Washington

Profile Details

NPI number 1134319791
LBN Legal business name Bernacki, Gwen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Feb 2nd, 2016 - about 9 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 1134319791 NPPES
Washington MEDICAID 1134319791

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