Bernheim, Peter Joseph
Bernheim, Peter Joseph is an individual health care provider with primary practice located at 4500 West Railroad Street , Gulfport MS 39503. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bernheim, Peter Joseph can be contacted via phone (228) 864-5155.Contact Information
Primary practice address
4500 West Railroad Street
Gulfport MS 39503
Phone: (228) 864-5155
Fax: (228) 864-4417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 12089 | Mississippi |
Profile Details
| NPI number | 1255424727 |
|---|---|
| LBN Legal business name | Bernheim, Peter Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255424727 | NPPES |
| Mississippi | MEDICAID | 00112062 |
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