Bernie, Bruce Jeremy
Bernie, Bruce Jeremy is an individual health care provider with primary practice located at 9000 N Main St Suite 234, Dayton OH 45415-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bernie, Bruce Jeremy can be contacted via phone (937) 277-8988.Contact Information
Primary practice address
9000 N Main St Suite 234
Dayton OH 45415-1180
Phone: (937) 277-8988
Fax: (937) 832-2421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 35.038152 | Ohio |
Profile Details
| NPI number | 1194720987 |
|---|---|
| LBN Legal business name | Bernie, Bruce Jeremy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194720987 | NPPES |
| Ohio | MEDICAID | 0332456 |
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