Berardelli, David
Berardelli, David is an sole proprietor health care provider with primary practice located at 16607 Blanco Road Suite 303, San Antonio TX 78232-1940. He recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as his primary health care specialty. Berardelli, David can be contacted via phone (361) 230-0466.Contact Information
Primary practice address
16607 Blanco Road Suite 303
San Antonio TX 78232-1940
Phone: (361) 230-0466
Fax: (210) 493-9504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | 209-10982 | Texas |
Profile Details
| NPI number | 1659601946 |
|---|---|
| LBN Legal business name | Berardelli, David |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2010 |
| Last updated | Jan 8th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659601946 | NPPES |
| Texas | Other | 209-10982 | TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL # |
| Texas | Other | C21287 | TEXAS BOARD OF ORTHOTISTS AND PROSTHECS LICENSE AND CONTROL # |
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