Berger, Jack L
Berger, Jack L is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berger, Jack L can be contacted via phone (407) 303-1944.Contact Information
Primary practice address
601 E Rollins St
Orlando FL 32803-1248
Phone: (407) 303-1944
Fax: (407) 303-1746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME41413 | Florida |
Profile Details
NPI number | 1710984240 |
---|---|
LBN Legal business name | Berger, Jack L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2005 |
Last updated | Jan 21st, 2008 - about 16 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 | 1710984240 | NPPES |
Florida | Other | 47538 | BCBS OF FLORIDA |
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