Bernardo, Ignacio Z.

Bernardo, Ignacio Z. is an individual health care provider with primary practice located at 202 3Rd Ave , Montgomery WV 25136-2222. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bernardo, Ignacio Z. can be contacted via phone (304) 442-5136.

Contact Information

Primary practice address
202 3Rd Ave Montgomery WV 25136-2222
Phone: (304) 442-5136
Fax: (304) 442-5166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3257 West Virginia

Profile Details

NPI number 1669483079
LBN Legal business name Bernardo, Ignacio Z.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669483079 NPPES
West Virginia MEDICAID 7800012000

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