Bernsen, Mitchell
Bernsen, Mitchell is an individual health care provider with primary practice located at 1415 S Arlington Heights Rd , Arlington Heights IL 60005-3765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bernsen, Mitchell can be contacted via phone (847) 439-1005.Contact Information
Primary practice address
1415 S Arlington Heights Rd
Arlington Heights IL 60005-3765
Phone: (847) 439-1005
Fax: (847) 439-7555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036-084785 | Illinois |
Profile Details
| NPI number | 1275523631 |
|---|---|
| LBN Legal business name | Bernsen, Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Feb 19th, 2015 - about 9 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 | 1275523631 | NPPES |
| Illinois | MEDICAID | 036-084785 |
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