Berkson, Michael H

Berkson, Michael H is an individual health care provider with primary practice located at 530 Park Ave E Ste 306 , Princeton IL 61356-3903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Berkson, Michael H can be contacted via phone (815) 876-3099.

Contact Information

Primary practice address
530 Park Ave E Ste 306 Princeton IL 61356-3903
Fax: (815) 876-3003
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-052590 Illinois

Profile Details

NPI number 1427057728
LBN Legal business name Berkson, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Dec 9th, 2020 - about 4 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 1427057728 NPPES
Illinois MEDICAID 036052590
Illinois Other 0451517835
Illinois Other 791203314
Illinois Other 200008160

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