Bacchus, Alban Berkley
Bacchus, Alban Berkley is an sole proprietor health care provider with primary practice located at 2889 10Th Ave N Suite 301, Palm Springs FL 33461-3045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bacchus, Alban Berkley can be contacted via phone (561) 966-2303.Contact Information
Primary practice address
2889 10Th Ave N Suite 301
Palm Springs FL 33461-3045
Phone: (561) 966-2303
Fax: (561) 966-0714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME0054352 | Florida |
Profile Details
| NPI number | 1710176474 |
|---|---|
| LBN Legal business name | Bacchus, Alban Berkley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2007 |
| Last updated | Oct 18th, 2007 - about 18 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 | 1710176474 | NPPES |
| Florida | MEDICAID | 063148500 |
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