Berkowitz, Jared R.
Berkowitz, Jared R. is an sole proprietor health care provider with primary practice located at 1562 Opossumtown Pike Fl 3 , Frederick MD 21702. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Berkowitz, Jared R. can be contacted via phone (301) 663-4774.Contact Information
Primary practice address
1562 Opossumtown Pike Fl 3
Frederick MD 21702
Phone: (301) 663-4774
Fax: (301) 695-1364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Urology | 208800000X | D68593 | Maryland |
Profile Details
| NPI number | 1588708267 |
|---|---|
| LBN Legal business name | Berkowitz, Jared R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Apr 30th, 2019 - about 5 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 | 1588708267 | NPPES |
| Maryland | MEDICAID | 417323600 |
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