Bernknopf, Mitchell
Bernknopf, Mitchell is an sole proprietor health care provider with primary practice located at 1367 S Military Trl , Deerfield Beach FL 33442-7634. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bernknopf, Mitchell can be contacted via phone (954) 427-3668.Contact Information
Primary practice address
1367 S Military Trl
Deerfield Beach FL 33442-7634
Phone: (954) 427-3668
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | PO2707 | Florida |
Profile Details
| NPI number | 1184688913 |
|---|---|
| LBN Legal business name | Bernknopf, Mitchell |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Sep 23rd, 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 | 1184688913 | NPPES |
| Florida | Other | 65588 | BCBS |
| Florida | MEDICAID | 390471700 | BCBS |
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