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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073591905 NPPES
Minnesota MEDICAID 310472900

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