Bermudez, Johnathan Frederick

Bermudez, Johnathan Frederick is an individual health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bermudez, Johnathan Frederick can be contacted via phone (410) 740-7890.

Contact Information

Primary practice address
5755 Cedar Ln Columbia MD 21044-2912
Phone: (410) 740-7890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110004123 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0005355 Maryland

Profile Details

NPI number 1720326754
LBN Legal business name Bermudez, Johnathan Frederick
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2013
Last updated Jul 8th, 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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