Bernal, Noah

Bernal, Noah is an sole proprietor health care provider with primary practice located at 3614 Washington Pkwy , Idaho Falls ID 83404-7573. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Bernal, Noah can be contacted via phone (208) 535-4343.

Contact Information

Primary practice address
3614 Washington Pkwy Idaho Falls ID 83404-7573
Phone: (208) 535-4343
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PA-1924 Idaho

Profile Details

NPI number 1003461401
LBN Legal business name Bernal, Noah
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2019
Last updated Aug 28th, 2020 - about 5 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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