Berbaum, Mark William
Berbaum, Mark William is an sole proprietor health care provider with primary practice located at 4527 Everhard Rd Nw , Canton OH 44718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Berbaum, Mark William can be contacted via phone (330) 966-3111.Contact Information
Primary practice address
4527 Everhard Rd Nw
Canton OH 44718
Phone: (330) 966-3111
Fax: (330) 966-1416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35056279B | Ohio |
Profile Details
| NPI number | 1285651141 |
|---|---|
| LBN Legal business name | Berbaum, Mark William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Feb 20th, 2013 - about 11 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 | 1285651141 | NPPES |
| Other | 070008885 | RAILROAD MEDICARE | |
| Other | 34180382300 | RAILROAD MEDICARE | |
| Other | 000000139234 | RAILROAD MEDICARE |
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