Bernick, Sheldon Marvin
Bernick, Sheldon Marvin is an individual health care provider with primary practice located at 1220 W Chester Pike , Havertown PA 19083-3339. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bernick, Sheldon Marvin can be contacted via phone (484) 454-3230.Contact Information
Primary practice address
1220 W Chester Pike
Havertown PA 19083-3339
Phone: (484) 454-3230
Fax: (484) 455-7186
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS016073L | Pennsylvania |
Profile Details
| NPI number | 1902804040 |
|---|---|
| LBN Legal business name | Bernick, Sheldon Marvin |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Oct 24th, 2013 - about 12 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 | 1902804040 | NPPES |
| Pennsylvania | MEDICAID | 000527656001 |
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