Bernal, Daniel T

Bernal, Daniel T is an individual health care provider with primary practice located at 11680 S 153Rd West Ave , Sapulpa OK 74066-8564. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Bernal, Daniel T can be contacted via phone (918) 512-6273.

Contact Information

Primary practice address
11680 S 153Rd West Ave Sapulpa OK 74066-8564
Phone: (918) 512-6273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1659014090
LBN Legal business name Bernal, Daniel T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2022
Last updated Apr 14th, 2022 - 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 1659014090 NPPES
Colorado Other 09-194-1801 DRIVERS LICENSE

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