Bernstein, Jack Mark
Bernstein, Jack Mark is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 4200 , Kettering OH 45429-1272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bernstein, Jack Mark can be contacted via phone (937) 572-7648.Contact Information
Primary practice address
3533 Southern Blvd Ste 4200
Kettering OH 45429-1272
Phone: (937) 572-7648
Fax: (937) 832-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35-055759 | Ohio |
Profile Details
| NPI number | 1043212772 |
|---|---|
| LBN Legal business name | Bernstein, Jack Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Feb 6th, 2019 - about 5 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 | 1043212772 | NPPES |
| Ohio | MEDICAID | 0438922 |
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