Bernarde, Michael Lynn

Bernarde, Michael Lynn is an sole proprietor health care provider with primary practice located at 1351 Wisconsin River Dr , Port Edwards WI 54469-1041. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bernarde, Michael Lynn can be contacted via phone (715) 885-8300.

Contact Information

Primary practice address
1351 Wisconsin River Dr Port Edwards WI 54469-1041
Fax: (715) 885-8350
Website:

Health care specialties

Profile Details

NPI number 1699955286
LBN Legal business name Bernarde, Michael Lynn
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2007
Last updated Nov 12th, 2007 - about 18 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 1699955286 NPPES
Wisconsin MEDICAID 40328700

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