Bernard, Shad Theodore
Bernard, Shad Theodore is an individual health care provider with primary practice located at 1997 Miamisburg Centerville Rd , Dayton OH 45459-3811. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bernard, Shad Theodore can be contacted via phone (937) 401-6400.Contact Information
Primary practice address
1997 Miamisburg Centerville Rd
Dayton OH 45459-3811
Phone: (937) 401-6400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | AT-001528 | Ohio |
Profile Details
| NPI number | 1902873268 |
|---|---|
| LBN Legal business name | Bernard, Shad Theodore |
| Credentials | MA, ATC/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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