Berezovski, Roman
Berezovski, Roman is an individual health care provider with primary practice located at 8901 N 76Th St , Milwaukee WI 53223-1901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Berezovski, Roman can be contacted via phone (414) 354-0772.Contact Information
Primary practice address
8901 N 76Th St
Milwaukee WI 53223-1901
Phone: (414) 354-0772
Fax: (414) 365-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 48739-20 | Wisconsin |
Profile Details
| NPI number | 1871569830 |
|---|---|
| LBN Legal business name | Berezovski, Roman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 20th, 2021 - about 4 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 | 1871569830 | NPPES |
| Wisconsin | MEDICAID | 34811900 |
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