Berker, Ennis

Berker, Ennis is an sole proprietor health care provider with primary practice located at 1008 Merlin Way , Dexter MI 48130-9834. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Berker, Ennis can be contacted via phone (269) 217-2992.

Contact Information

Primary practice address
1008 Merlin Way Dexter MI 48130-9834
Phone: (269) 217-2992
Fax: (734) 623-0108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301 006050 Michigan
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 6301006050 Michigan

Profile Details

NPI number 1316039357
LBN Legal business name Berker, Ennis
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Mar 17th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316039357 NPPES
Michigan Other C 94573 BLUE CROSS

Popular Providers