Berlin, Gerald

Berlin, Gerald is an individual health care provider with primary practice located at 404 State St Ste 200 , Bangor ME 04401-6652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Berlin, Gerald can be contacted via phone (207) 990-0928.

Contact Information

Primary practice address
404 State St Ste 200 Bangor ME 04401-6652
Fax: (207) 945-4354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 1645 Maine

Profile Details

NPI number 1639181423
LBN Legal business name Berlin, Gerald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 8th, 2008 - about 16 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 1639181423 NPPES
Maine MEDICAID 323840099

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