Berkshire, James C

Berkshire, James C is an individual health care provider with primary practice located at 3605 Executive Dr , San Angelo TX 76904-6884. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berkshire, James C can be contacted via phone (325) 949-9555.

Contact Information

Primary practice address
3605 Executive Dr San Angelo TX 76904-6884
Phone: (325) 949-9555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 24144 Texas

Profile Details

NPI number 1770543258
LBN Legal business name Berkshire, James C
Credentials ED.D
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 5th, 2018 - about 6 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 1770543258 NPPES
Texas MEDICAID 099314901
Texas Other 81666S

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