Bernardi, Diane

Bernardi, Diane is an individual health care provider with primary practice located at 5750 Falls Dr , Fort Wayne IN 46804-7147. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bernardi, Diane can be contacted via phone (260) 436-8000.

Contact Information

Primary practice address
5750 Falls Dr Fort Wayne IN 46804-7147
Phone: (260) 436-8000
Fax: (260) 432-5587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3568238 Ohio
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01052974A Indiana

Profile Details

NPI number 1730212838
LBN Legal business name Bernardi, Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Mar 26th, 2014 - about 10 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 1730212838 NPPES
Ohio Other 070015104 RAILROAD
Ohio MEDICAID 138621 RAILROAD

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