Berk, Steven L
Berk, Steven L is an individual health care provider with primary practice located at 27-29 Mechanic St , Worcester MA 01608-2414. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berk, Steven L can be contacted via phone (508) 753-2159.Contact Information
Primary practice address
27-29 Mechanic St
Worcester MA 01608-2414
Phone: (508) 753-2159
Fax: (508) 753-5784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 150108 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 045654 | Connecticut |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 54627 | Massachusetts |
Profile Details
| NPI number | 1841251824 |
|---|---|
| LBN Legal business name | Berk, Steven L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Nov 14th, 2015 - about 10 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 | 1841251824 | NPPES |
| Connecticut | MEDICAID | 001456541 | |
| Connecticut | Other | 042472266 | |
| Connecticut | Other | 042472266 | |
| Connecticut | Other | 0800299 | |
| Connecticut | Other | 5238488 | |
| Connecticut | Other | 042472266 | |
| Connecticut | Other | 52833A | |
| Connecticut | Other | 1059575 | |
| Connecticut | Other | 2184329 |
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