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
Phone: (815) 876-3099
Fax: (815) 876-3003
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427057728 | NPPES |
| Illinois | MEDICAID | 036052590 | |
| Illinois | Other | 0451517835 | |
| Illinois | Other | 791203314 | |
| Illinois | Other | 200008160 |
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