Berneike, John A

Berneike, John A is an individual health care provider with primary practice located at 1250 E 3900 S Suite 260, Salt Lake City UT 84124-1348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berneike, John A can be contacted via phone (801) 265-2000.

Contact Information

Primary practice address
1250 E 3900 S Suite 260 Salt Lake City UT 84124-1348
Phone: (801) 265-2000
Fax: (801) 265-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3645941205 Utah

Profile Details

NPI number 1982688321
LBN Legal business name Berneike, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jun 7th, 2021 - about 5 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 1982688321 NPPES
Utah MEDICAID 870617263004/D2710

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