Berkowitz, Ira Charles
Berkowitz, Ira Charles is an sole proprietor health care provider with primary practice located at 2019 Galisteo St J-1, Santa Fe NM 87505-2143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berkowitz, Ira Charles can be contacted via phone (505) 820-0446.Contact Information
Primary practice address
2019 Galisteo St J-1
Santa Fe NM 87505-2143
Phone: (505) 820-0446
Fax: (505) 820-6142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 82-167 | New Mexico |
Profile Details
| NPI number | 1487852463 |
|---|---|
| LBN Legal business name | Berkowitz, Ira Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Mar 21st, 2014 - about 11 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 | 1487852463 | NPPES |
| New Mexico | MEDICAID | 18689 |
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