Bernardo, Wilfrido D

Bernardo, Wilfrido D is an individual health care provider with primary practice located at 130 Lebanon Hwy Suite B, Carthage TN 37030-2955. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Bernardo, Wilfrido D can be contacted via phone (615) 735-0700.

Contact Information

Primary practice address
130 Lebanon Hwy Suite B Carthage TN 37030-2955
Phone: (615) 735-0700
Fax: (615) 735-5451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 11479 Tennessee

Profile Details

NPI number 1003801887
LBN Legal business name Bernardo, Wilfrido D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Mar 5th, 2008 - about 17 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 1003801887 NPPES
Tennessee MEDICAID 3170708

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