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
Fax: (573) 333-4665
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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 1003923129 NPPES
Missouri MEDICAID 200063501

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