Berks, Robert W

Berks, Robert W is an individual health care provider with primary practice located at 100 Campus Ave Suite 208, Lewiston ME 04240. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Berks, Robert W can be contacted via phone (207) 777-8974.

Contact Information

Primary practice address
100 Campus Ave Suite 208 Lewiston ME 04240
Phone: (207) 777-8974
Fax: (207) 777-8946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP81019 Maine

Profile Details

NPI number 1124177522
LBN Legal business name Berks, Robert W
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Nov 7th, 2022 - about 3 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 1124177522 NPPES
Maine MEDICAID 330390099

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