Tan, Bernardo O
Tan, Bernardo O is an sole proprietor health care provider with primary practice located at 9305 W Thomas Rd Suite #410, Phoenix AZ 85037-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Tan, Bernardo O can be contacted via phone (623) 322-8478.Contact Information
Primary practice address
9305 W Thomas Rd Suite #410
Phoenix AZ 85037-3328
Phone: (623) 322-8478
Fax: (623) 322-8430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32141 | Arizona |
Profile Details
| NPI number | 1790742047 |
|---|---|
| LBN Legal business name | Tan, Bernardo O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Jan 11th, 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 | 1790742047 | NPPES |
| Arizona | MEDICAID | 946923-01 |
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