Bernbach, Marc Richard
Bernbach, Marc Richard is an sole proprietor health care provider with primary practice located at 171 Grandview Ave Suite 104, Waterbury CT 06708-2517. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bernbach, Marc Richard can be contacted via phone (203) 753-2048.Contact Information
Primary practice address
171 Grandview Ave Suite 104
Waterbury CT 06708-2517
Phone: (203) 753-2048
Fax: (203) 753-5891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000447 | Connecticut |
Profile Details
| NPI number | 1538149463 |
|---|---|
| LBN Legal business name | Bernbach, Marc Richard |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Nov 12th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538149463 | NPPES |
| Connecticut | MEDICAID | 409031 |
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