Bernard, James D

Bernard, James D is an individual health care provider with primary practice located at 3 Pine Cone Dr Unit 102, Palm Coast FL 32137-8685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bernard, James D can be contacted via phone (386) 864-6005.

Contact Information

Primary practice address
3 Pine Cone Dr Unit 102 Palm Coast FL 32137-8685
Fax: (386) 864-6110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X OS3277 Florida

Profile Details

NPI number 1477574044
LBN Legal business name Bernard, James D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jun 16th, 2016 - about 8 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 1477574044 NPPES
Florida MEDICAID 271909600

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