Berlin, Kevin J

Berlin, Kevin J is an individual health care provider with primary practice located at 23050 West Road Ste 120, Brownstown Twp MI 48183-1470. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berlin, Kevin J can be contacted via phone (734) 671-1510.

Contact Information

Primary practice address
23050 West Road Ste 120 Brownstown Twp MI 48183-1470
Phone: (734) 671-1510
Fax: (734) 671-1570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101011297 Michigan
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 5101011297 Michigan
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 5101011297 Michigan

Profile Details

NPI number 1902974090
LBN Legal business name Berlin, Kevin J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Feb 21st, 2017 - about 7 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 1902974090 NPPES
Michigan MEDICAID 343818411
Michigan Other 0H27585

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