Bernales, Andrew B

Bernales, Andrew B is an individual health care provider with primary practice located at 402 N Vaughan Dr , Brusly LA 70719-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bernales, Andrew B can be contacted via phone (225) 448-5321.

Contact Information

Primary practice address
402 N Vaughan Dr Brusly LA 70719-2225
Phone: (225) 448-5321
Fax: (225) 448-5321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 324080 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 125069861 Illinois

Profile Details

NPI number 1780104943
LBN Legal business name Bernales, Andrew B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Jun 2nd, 2022 - about 3 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 1780104943 NPPES
Louisiana MEDICAID 2542605

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