Bernthal, Nicholas Matthew
Bernthal, Nicholas Matthew is an sole proprietor health care provider with primary practice located at 26 Wavecrest Ave , Venice CA 90291-3211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bernthal, Nicholas Matthew can be contacted via phone (310) 452-3790.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | A103272 | California |
Profile Details
| NPI number | 1902068356 |
|---|---|
| LBN Legal business name | Bernthal, Nicholas Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Jul 17th, 2013 - about 11 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 | 1902068356 | NPPES |
| California | MEDICAID | 1932140639 |
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