Smith, Bernard

Smith, Bernard is an sole proprietor health care provider with primary practice located at 1428 N Farwell Ave , Milwaukee WI 53202-2904. He recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, which is considered as his primary health care specialty. Smith, Bernard can be contacted via phone (414) 278-0424.

Contact Information

Primary practice address
1428 N Farwell Ave Milwaukee WI 53202-2904
Phone: (414) 278-0424
Fax: (414) 278-0521
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X 29107-020 Wisconsin

Profile Details

NPI number 1720131097
LBN Legal business name Smith, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1720131097 NPPES
Wisconsin MEDICAID 31978700

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