Berndt, Theodore B.

Berndt, Theodore B. is an individual health care provider with primary practice located at 1155 Mill St , Reno NV 89502-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Berndt, Theodore B. can be contacted via phone (775) 982-7878.

Contact Information

Primary practice address
1155 Mill St Reno NV 89502-1576
Fax: (775) 982-4196
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G22670 California
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3191 Nevada

Profile Details

NPI number 1154348100
LBN Legal business name Berndt, Theodore B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jul 25th, 2017 - about 7 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 1154348100 NPPES
Nevada Other CC2328 BLUE CROSS BLUE SHIELD
Nevada Other 11050642 BLUE CROSS BLUE SHIELD
Nevada MEDICAID XPY183369 BLUE CROSS BLUE SHIELD
Nevada MEDICAID 002016077 BLUE CROSS BLUE SHIELD

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