Berkeley Family Practice Llc
LBN: Berkeley Family Practice Llc
Berkeley Family Practice Llc is an health care organization with primary practice located at 2061 Highway 52 , Moncks Corner SC 29461-5017. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Berkeley Family Practice Llc can be contacted via phone (843) 761-8800, or through Santi, Jeffrey R via phone (843) 761-8800.
Contact Information
Primary practice address
2061 Highway 52
Moncks Corner SC 29461-5017
Phone: (843) 761-8800
Fax: (843) 761-8824
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1962420927 |
|---|---|
| LBN Legal business name | Berkeley Family Practice Llc |
| DBA Doing business as | |
| Authorized official | Santi, Jeffrey R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 25th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962420927 | NPPES |
| South Carolina | MEDICAID | PA2416 |
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