Berdichevsky, Max Robert

Berdichevsky, Max Robert is an individual health care provider with primary practice located at 200 Medical Center Dr Ste 375 , Middletown OH 45005-5180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Berdichevsky, Max Robert can be contacted via phone (513) 422-8274.

Contact Information

Primary practice address
200 Medical Center Dr Ste 375 Middletown OH 45005-5180
Phone: (513) 422-8274
Fax: (513) 217-5762
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD60340423 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD60340423 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.132180 Ohio

Profile Details

NPI number 1902136823
LBN Legal business name Berdichevsky, Max Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2009
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902136823 NPPES
Washington MEDICAID 1902136823

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