Berke, Gary M
Berke, Gary M is an sole proprietor health care provider with primary practice located at 2001 Winward Way Suite 100, San Mateo CA 94404-2499. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Berke, Gary M can be contacted via phone (650) 365-5861.Contact Information
Primary practice address
2001 Winward Way Suite 100
San Mateo CA 94404-2499
Phone: (650) 365-5861
Fax: (650) 365-5896
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CP1628 | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X | CP1628 |
Profile Details
NPI number | 1669490777 |
---|---|
LBN Legal business name | Berke, Gary M |
Credentials | MS, CP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2006 |
Last updated | Jul 21st, 2022 - about 2 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 | 1669490777 | NPPES |
California | Other | XB0016280 | MEDICAL |
California | MEDICAID | XB0016280 | MEDICAL |
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