Bernal, Marcela

Bernal, Marcela is an individual health care provider with primary practice located at 407 Fieldstone , Ledyard CT 06339-1251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bernal, Marcela can be contacted via phone (305) 331-5583.

Contact Information

Primary practice address
407 Fieldstone Ledyard CT 06339-1251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4334 Connecticut

Profile Details

NPI number 1609395813
LBN Legal business name Bernal, Marcela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2017
Last updated Jun 25th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609395813 NPPES
Connecticut Other 4334 CONNETICUT DEPARTMENT OF HEALTH
Connecticut Other PA01664 CONNETICUT DEPARTMENT OF HEALTH

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