Bernardon, Stephen Oswald

Bernardon, Stephen Oswald is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bernardon, Stephen Oswald can be contacted via phone (859) 301-2250.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Phone: (859) 301-2250
Fax: (859) 572-2326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01084580A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23602 Kentucky

Profile Details

NPI number 1831190750
LBN Legal business name Bernardon, Stephen Oswald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated May 27th, 2021 - 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 1831190750 NPPES
Indiana MEDICAID 200057370
Indiana MEDICAID 0533953
Indiana MEDICAID 64236029

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