Bernacki, Walter Lang
Bernacki, Walter Lang is an sole proprietor health care provider with primary practice located at 1085 E. Johnstown Rd. , Gahanna OH 43230. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bernacki, Walter Lang can be contacted via phone (614) 682-5095.Contact Information
Primary practice address
1085 E. Johnstown Rd.
Gahanna OH 43230
Phone: (614) 682-5095
Fax: (614) 891-6533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35071567B | Ohio |
Profile Details
| NPI number | 1871664714 |
|---|---|
| LBN Legal business name | Bernacki, Walter Lang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jan 25th, 2023 - about 2 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 | 1871664714 | NPPES |
| Ohio | MEDICAID | 2319244 |
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