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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285651141 NPPES
Other 070008885 RAILROAD MEDICARE
Other 34180382300 RAILROAD MEDICARE
Other 000000139234 RAILROAD MEDICARE

Popular Providers