Bernie, Jan Edward
Bernie, Jan Edward is an sole proprietor health care provider with primary practice located at 60 E End Ave Apt 25B, New York NY 10028-7907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bernie, Jan Edward can be contacted via phone (212) 879-9474.Contact Information
Primary practice address
60 E End Ave Apt 25B
New York NY 10028-7907
Phone: (212) 879-9474
Fax: (212) 879-1994
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 35033087 | Ohio |
Profile Details
| NPI number | 1609815398 |
|---|---|
| LBN Legal business name | Bernie, Jan Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Nov 1st, 2010 - about 14 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 | 1609815398 | NPPES |
| Ohio | MEDICAID | 0164085 |
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