Berghaus, Jean

Berghaus, Jean is an individual health care provider with primary practice located at 1771 Madison Ave , Lakewood NJ 08701-1251. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Berghaus, Jean can be contacted via phone (732) 364-2144.

Contact Information

Primary practice address
1771 Madison Ave Lakewood NJ 08701-1251
Phone: (732) 364-2144
Fax: (732) 364-3559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA070633 New Jersey

Profile Details

NPI number 1457410888
LBN Legal business name Berghaus, Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Dec 14th, 2012 - about 13 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 1457410888 NPPES
New Jersey MEDICAID 8223203

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