Berndtson, Jeffrey W
Berndtson, Jeffrey W is an individual health care provider with primary practice located at 3345 Southwestern Blvd , Orchard Park NY 14127-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berndtson, Jeffrey W can be contacted via phone (716) 656-4826.Contact Information
Primary practice address
3345 Southwestern Blvd
Orchard Park NY 14127-1506
Phone: (716) 656-4826
Fax: (716) 250-5981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 224211 | New York |
Profile Details
| NPI number | 1457340689 |
|---|---|
| LBN Legal business name | Berndtson, Jeffrey W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Nov 7th, 2019 - about 5 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 | 1457340689 | NPPES |
| New York | MEDICAID | 02280404 |
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