Coden-Festin, Bernadette S
Coden-Festin, Bernadette S is an individual health care provider with primary practice located at 6000 Earle Brown Dr , Brooklyn Center MN 55430-2506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Coden-Festin, Bernadette S can be contacted via phone (952) 993-4900.Contact Information
Primary practice address
6000 Earle Brown Dr
Brooklyn Center MN 55430-2506
Phone: (952) 993-4900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 46957 | Minnesota |
Profile Details
NPI number | 1073591905 |
---|---|
LBN Legal business name | Coden-Festin, Bernadette S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | Mar 1st, 2012 - about 12 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 | 1073591905 | NPPES |
Minnesota | MEDICAID | 310472900 |
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