Bernstein, Jack Mark

Bernstein, Jack Mark is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 4200 , Kettering OH 45429-1272. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bernstein, Jack Mark can be contacted via phone (937) 572-7648.

Contact Information

Primary practice address
3533 Southern Blvd Ste 4200 Kettering OH 45429-1272
Phone: (937) 572-7648
Fax: (937) 832-8279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35-055759 Ohio

Profile Details

NPI number 1043212772
LBN Legal business name Bernstein, Jack Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Feb 6th, 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 1043212772 NPPES
Ohio MEDICAID 0438922

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