Berkenbile, David A
Berkenbile, David A is an individual health care provider with primary practice located at 30 Apex Dr Suite 2, Highland IL 62249-1285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berkenbile, David A can be contacted via phone (618) 651-2727.Contact Information
Primary practice address
30 Apex Dr Suite 2
Highland IL 62249-1285
Phone: (618) 651-2727
Fax: (618) 654-7905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2006018663 | Missouri |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036073061 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036073061 | Illinois |
Profile Details
NPI number | 1851395578 |
---|---|
LBN Legal business name | Berkenbile, David A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Jul 20th, 2024 - about 2 months 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 | 1851395578 | NPPES |
Missouri | MEDICAID | 1851395578 | |
Missouri | MEDICAID | 036073061-2 |
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