Bardelas, Jose Antonio

Bardelas, Jose Antonio is an individual health care provider with primary practice located at 100 Westwood Avenue , High Point NC 27262-4320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Bardelas, Jose Antonio can be contacted via phone (336) 883-1393.

Contact Information

Primary practice address
100 Westwood Avenue High Point NC 27262-4320
Phone: (336) 883-1393
Fax: (336) 883-7517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 21622 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 21622 North Carolina

Profile Details

NPI number 1265490841
LBN Legal business name Bardelas, Jose Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 10th, 2021 - about 5 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 1265490841 NPPES
Other 0200001 UNITED HEALTHCARE
MEDICAID 8913057 UNITED HEALTHCARE
Other 13057 UNITED HEALTHCARE

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