Lauredan, Bernier

Lauredan, Bernier is an sole proprietor health care provider with primary practice located at 22 Ball St Suite 100, Irvington NJ 07111-3521. He recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as his primary health care specialty. Lauredan, Bernier can be contacted via phone (973) 371-1600.

Contact Information

Primary practice address
22 Ball St Suite 100 Irvington NJ 07111-3521
Fax: (973) 372-7677
Website:

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 25MA05388700 New Jersey

Profile Details

NPI number 1639283047
LBN Legal business name Lauredan, Bernier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Jul 8th, 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 1639283047 NPPES
New Jersey MEDICAID 0677701

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