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
Phone: (207) 990-0928
Fax: (207) 945-4354
Website:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1639181423 | NPPES |
| Maine | MEDICAID | 323840099 |
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