Berlin, Jennifer Michele

Berlin, Jennifer Michele is an individual health care provider with primary practice located at 17 White Horse Pike Suite 10A, Haddon Heights NJ 08035-1299. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Berlin, Jennifer Michele can be contacted via phone (856) 546-8989.

Contact Information

Primary practice address
17 White Horse Pike Suite 10A Haddon Heights NJ 08035-1299
Phone: (856) 546-8989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 25MD00284300 New Jersey

Profile Details

NPI number 1740254291
LBN Legal business name Berlin, Jennifer Michele
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 6th, 2012 - about 12 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 1740254291 NPPES
New Jersey Other 25MD00284300 STATE LICENSE

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