Berlacher, Mark

Berlacher, Mark is an individual health care provider with primary practice located at 1955 Dixie Hwy Ste E , Ft Wright KY 41011-2882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berlacher, Mark can be contacted via phone (859) 292-4560.

Contact Information

Primary practice address
1955 Dixie Hwy Ste E Ft Wright KY 41011-2882
Phone: (859) 292-4560
Fax: (859) 292-4561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35141460 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11017791A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 55150 Kentucky

Profile Details

NPI number 1104239797
LBN Legal business name Berlacher, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2014
Last updated Aug 16th, 2021 - 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 1104239797 NPPES
Ohio MEDICAID 0440583

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