Bernaiche, Maurice R

Bernaiche, Maurice R is an individual health care provider with primary practice located at 500 Gordon Ave , Thomasville GA 31792-6646. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Bernaiche, Maurice R can be contacted via phone (850) 765-8623.

Contact Information

Primary practice address
500 Gordon Ave Thomasville GA 31792-6646
Phone: (850) 765-8623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 54547 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X OS20454 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 54547 Georgia

Profile Details

NPI number 1407824576
LBN Legal business name Bernaiche, Maurice R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 26th, 2023 - about 2 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 1407824576 NPPES
Massachusetts Other 000000032786 BMC
Massachusetts Other J29800 BMC
Massachusetts Other AA53780 BMC
Massachusetts Other 7421780 BMC
Massachusetts Other 8900941 BMC
Massachusetts Other 226816 BMC
Massachusetts Other 478927 BMC
Massachusetts Other 37645 BMC

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