Berlin, Christopher Jack

Berlin, Christopher Jack is an individual health care provider with primary practice located at 2715 Naches Ave Sw , Renton WA 98057-2627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berlin, Christopher Jack can be contacted via phone (206) 630-1330.

Contact Information

Primary practice address
2715 Naches Ave Sw Renton WA 98057-2627
Phone: (206) 630-1330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD432456 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60133766 Washington

Profile Details

NPI number 1356404990
LBN Legal business name Berlin, Christopher Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated May 19th, 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 1356404990 NPPES
Washington MEDICAID 1356404990

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