Bernard, Thomas Jeffrey

Bernard, Thomas Jeffrey is an individual health care provider with primary practice located at 9425 Healthplex Dr Suite 101, Shreveport LA 71106-8148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bernard, Thomas Jeffrey can be contacted via phone (318) 683-5171.

Contact Information

Primary practice address
9425 Healthplex Dr Suite 101 Shreveport LA 71106-8148
Phone: (318) 683-5171
Fax: (318) 683-5182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L022545 Louisiana

Profile Details

NPI number 1962404475
LBN Legal business name Bernard, Thomas Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 4th, 2011 - about 15 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 1962404475 NPPES
Louisiana MEDICAID 1493716

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