Bardin, Richard L

Bardin, Richard L is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bardin, Richard L can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 684-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301085001 Michigan

Profile Details

NPI number 1699703058
LBN Legal business name Bardin, Richard L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 7th, 2023 - about 3 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 1699703058 NPPES
Michigan Other 04-30549 PHP
Michigan Other P00233286 PHP
Michigan Other 2829484 PHP
Michigan Other 1101110651 PHP
Michigan MEDICAID 4718487 PHP

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