Bernardo, Michael Jerome

Bernardo, Michael Jerome is an individual health care provider with primary practice located at 1109 Wilson St , Newberry SC 29108-3443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bernardo, Michael Jerome can be contacted via phone (803) 321-3035.

Contact Information

Primary practice address
1109 Wilson St Newberry SC 29108-3443
Phone: (803) 321-3035
Fax: (803) 321-3034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 16266 South Carolina

Profile Details

NPI number 1598764870
LBN Legal business name Bernardo, Michael Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jan 19th, 2022 - about 3 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 1598764870 NPPES
South Carolina MEDICAID TL3672

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