Provider Demographics
NPI:1780149419
Name:BERNHARDY, EVAN STRILUK
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:STRILUK
Last Name:BERNHARDY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1012 ANNA RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4017
Mailing Address - Country:US
Mailing Address - Phone:484-356-6820
Mailing Address - Fax:
Practice Address - Street 1:1012 ANNA RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4017
Practice Address - Country:US
Practice Address - Phone:484-356-6820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program