Canzoneri, Bernard Joseph
Canzoneri, Bernard Joseph is an sole proprietor health care provider with primary practice located at 5501 Willow Creek Dr Suite 202, Springdale AR 72762-8704. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Canzoneri, Bernard Joseph can be contacted via phone (479) 443-4500.Contact Information
Primary practice address
5501 Willow Creek Dr Suite 202
Springdale AR 72762-8704
Phone: (479) 443-4500
Fax: (479) 249-6910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2006-00926 | North Carolina |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | 2024001047 | Missouri |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD025689 | Louisiana |
| Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine | 207VM0101X | E7297 | Arkansas |
Profile Details
| NPI number | 1578580536 |
|---|---|
| LBN Legal business name | Canzoneri, Bernard Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jul 1st, 2024 - about 2 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 | 1578580536 | NPPES |
| North Carolina | Other | 1420R | BCBS |
| North Carolina | MEDICAID | 029287798 | BCBS |
| North Carolina | MEDICAID | 1040959 | BCBS |
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