Berka, Kristin Marie

Berka, Kristin Marie is an individual health care provider with primary practice located at 15830 Ballantyne Medical Pl Ste 100 , Charlotte NC 28277-0762. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Berka, Kristin Marie can be contacted via phone (704) 341-0090.

Contact Information

Primary practice address
15830 Ballantyne Medical Pl Ste 100 Charlotte NC 28277-0762
Phone: (704) 341-0090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1109 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103380 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103380 North Carolina

Profile Details

NPI number 1609837814
LBN Legal business name Berka, Kristin Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Oct 8th, 2020 - about 5 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 1609837814 NPPES
North Carolina Other 85246 BLUECROSS BLUESHIELD
North Carolina MEDICAID 7985246 BLUECROSS BLUESHIELD

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