Bereza, Richard A

Bereza, Richard A is an individual health care provider with primary practice located at 1300 Michigan St Ne Suite 200, Grand Rapids MI 49503-2026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bereza, Richard A can be contacted via phone (616) 774-9515.

Contact Information

Primary practice address
1300 Michigan St Ne Suite 200 Grand Rapids MI 49503-2026
Phone: (616) 774-9515
Fax: (616) 774-7116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X RB038229 Michigan

Profile Details

NPI number 1558476804
LBN Legal business name Bereza, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Nov 30th, 2009 - about 15 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 1558476804 NPPES
Michigan MEDICAID 1341087

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