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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407851165 | NPPES |
Connecticut | MEDICAID | 1407851165 |
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