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
Phone: (715) 885-8300
Fax: (715) 885-8350
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 943-019 | Wisconsin |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699955286 | NPPES |
Wisconsin | MEDICAID | 40328700 |
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