Bettencourt, Bernard M

Bettencourt, Bernard M is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Bettencourt, Bernard M can be contacted via phone (781) 744-8100.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001
Phone: (781) 744-8100
Fax: (781) 744-5215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 78131 Massachusetts
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 78131 Massachusetts

Profile Details

NPI number 1790743532
LBN Legal business name Bettencourt, Bernard M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 1st, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790743532 NPPES
Massachusetts MEDICAID 0129551

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