Bernard, James W
Bernard, James W is an sole proprietor health care provider with primary practice located at 106 W 12Th St , Caruthersville MO 63830-1890. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Bernard, James W can be contacted via phone (573) 333-1782.Contact Information
Primary practice address
106 W 12Th St
Caruthersville MO 63830-1890
Phone: (573) 333-1782
Fax: (573) 333-4665
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | R2470 | Missouri |
Profile Details
| NPI number | 1003923129 |
|---|---|
| LBN Legal business name | Bernard, James W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Apr 13th, 2015 - about 11 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 | 1003923129 | NPPES |
| Missouri | MEDICAID | 200063501 |
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