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NPI Code Detail

MEDICARE: DR. JOSEPH E. BERNARD D.C.

MEDICARE: DR. JOSEPH E. BERNARD D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorJB008258MI

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10P45830OTHERMIMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20B51558OTHERMIBLUE CROSS

General Provider Information

NPI Number : 1730238064
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH E. BERNARD D.C.
Provider Business Mailing Address
First Line : G3169 BEECHER RD
Second Line : SUITE 107
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-233-7228
Fax Number : 810-233-7255
Provider Business Practice Location Address
First Line : G3169 BEECHER RD
Second Line : SUITE 107
City : FLINT
State : MI
Zip : 48532-3611
Country : US
Telephone Number : 810-233-7228
Fax Number : 810-233-7255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2007
Last Update Date : 06/02/2008

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