Berard, Eric Nathaniel

Berard, Eric Nathaniel is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berard, Eric Nathaniel can be contacted via phone (508) 559-6699.

Contact Information

Primary practice address
63 Main St Brockton MA 02301-4042
Fax: (508) 559-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 264739 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X DO00684 Rhode Island

Profile Details

NPI number 1316104730
LBN Legal business name Berard, Eric Nathaniel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Oct 1st, 2015 - about 11 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 1316104730 NPPES
Rhode Island MEDICAID EB86967

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