Berkowitz, Samuel

Berkowitz, Samuel is an individual health care provider with primary practice located at 99 Ash St , East Hartford CT 06108-3226. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Berkowitz, Samuel can be contacted via phone (860) 679-6600.

Contact Information

Primary practice address
99 Ash St East Hartford CT 06108-3226
Phone: (860) 679-6600
Fax: (860) 679-6604
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P00295 Connecticut

Profile Details

NPI number 1407851165
LBN Legal business name Berkowitz, Samuel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Apr 16th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407851165 NPPES
Connecticut MEDICAID 1407851165

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