Bernheim, Peter Joseph

Bernheim, Peter Joseph is an individual health care provider with primary practice located at 4500 West Railroad Street , Gulfport MS 39503. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bernheim, Peter Joseph can be contacted via phone (228) 864-5155.

Contact Information

Primary practice address
4500 West Railroad Street Gulfport MS 39503
Phone: (228) 864-5155
Fax: (228) 864-4417
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12089 Mississippi

Profile Details

NPI number 1255424727
LBN Legal business name Bernheim, Peter Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1255424727 NPPES
Mississippi MEDICAID 00112062

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