Bernholt, David
Bernholt, David is an individual health care provider with primary practice located at 1400 S Germantown Rd , Germantown TN 38138-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bernholt, David can be contacted via phone (901) 759-3100.Contact Information
Primary practice address
1400 S Germantown Rd
Germantown TN 38138-2205
Phone: (901) 759-3100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DR.0059851 | Colorado |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 59285 | Tennessee |
Profile Details
NPI number | 1245501436 |
---|---|
LBN Legal business name | Bernholt, David |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2012 |
Last updated | Oct 5th, 2022 - about 2 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 | 1245501436 | NPPES |
Mississippi | MEDICAID | 07286202 | |
Mississippi | MEDICAID | Q051066 |
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