Berk, William A

Berk, William A is an individual health care provider with primary practice located at 4201 Saint Antoine St Detroit Receving Hospital Emergency Dept.--3R, Detroit MI 48201-2153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Berk, William A can be contacted via phone (313) 745-3331.

Contact Information

Primary practice address
4201 Saint Antoine St Detroit Receving Hospital Emergency Dept.--3R Detroit MI 48201-2153
Phone: (313) 745-3331
Fax: (313) 745-3653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301044761 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301044761 Michigan

Profile Details

NPI number 1508808668
LBN Legal business name Berk, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 18th, 2010 - about 14 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 1508808668 NPPES
Michigan Other WB044761 BC/BS OF MICHIGAN
Michigan MEDICAID 101987768 BC/BS OF MICHIGAN
Michigan MEDICAID 103309614 BC/BS OF MICHIGAN

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