Bernal, Humberto
Bernal, Humberto is an individual health care provider with primary practice located at 18100 Oakwood Blvd Ste 203, Dearborn MI 48124-4085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Bernal, Humberto can be contacted via phone (313) 336-7400.Contact Information
Primary practice address
18100 Oakwood Blvd Ste 203
Dearborn MI 48124-4085
Phone: (313) 336-7400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301044715 | Michigan |
Profile Details
NPI number | 1255306817 |
---|---|
LBN Legal business name | Bernal, Humberto |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | Dec 14th, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255306817 | NPPES |
Michigan | Other | HB044715 | BCBS |
Michigan | MEDICAID | 3515265 | BCBS |
Michigan | Other | 383438259 | BCBS |
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