Berk, Ronald J

Berk, Ronald J is an sole proprietor health care provider with primary practice located at 2104 Northdale Blvd Nw Suite 220, Minneapolis MN 55433-3028. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Berk, Ronald J can be contacted via phone (763) 537-6000.

Contact Information

Primary practice address
2104 Northdale Blvd Nw Suite 220 Minneapolis MN 55433-3028
Phone: (763) 537-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0981 Minnesota

Profile Details

NPI number 1912049032
LBN Legal business name Berk, Ronald J
Credentials M.EQ., LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Feb 19th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912049032 NPPES
Minnesota Other 965747900 MINNESOTA PROVIDER NUMBR

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