Berndtson, Jeffrey W

Berndtson, Jeffrey W is an individual health care provider with primary practice located at 3345 Southwestern Blvd , Orchard Park NY 14127-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berndtson, Jeffrey W can be contacted via phone (716) 656-4826.

Contact Information

Primary practice address
3345 Southwestern Blvd Orchard Park NY 14127-1506
Phone: (716) 656-4826
Fax: (716) 250-5981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 224211 New York

Profile Details

NPI number 1457340689
LBN Legal business name Berndtson, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Nov 7th, 2019 - about 7 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 1457340689 NPPES
New York MEDICAID 02280404

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