Berlin, Debbie A.
Berlin, Debbie A. is an individual health care provider with primary practice located at 1555 Kingsley Ave Suite 503, Orange Park FL 32073-9207. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Berlin, Debbie A. can be contacted via phone (904) 278-5088.Contact Information
Primary practice address
1555 Kingsley Ave Suite 503
Orange Park FL 32073-9207
Phone: (904) 278-5088
Fax: (904) 264-4910
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME90493 | Florida |
Profile Details
| NPI number | 1245288471 |
|---|---|
| LBN Legal business name | Berlin, Debbie A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jun 23rd, 2011 - about 13 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 | 1245288471 | NPPES |
| Florida | Other | P00146174 | RAILROAD MEDICARE |
| Florida | MEDICAID | 274974200 | RAILROAD MEDICARE |
| Florida | Other | 294216 | RAILROAD MEDICARE |
| Florida | Other | 7431565 | RAILROAD MEDICARE |
| Florida | Other | 50705 | RAILROAD MEDICARE |
| Florida | Other | 5953872 | RAILROAD MEDICARE |
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