Berlin, William Paul
Berlin, William Paul is an individual health care provider with primary practice located at 2500 N State St Department Of Medicine, Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berlin, William Paul can be contacted via phone (601) 984-5601.Contact Information
Primary practice address
2500 N State St Department Of Medicine
Jackson MS 39216-4500
Phone: (601) 984-5601
Fax: (601) 984-6601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 27304 | Mississippi |
Profile Details
| NPI number | 1871972646 |
|---|---|
| LBN Legal business name | Berlin, William Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2015 |
| Last updated | Oct 8th, 2021 - about 3 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 | 1871972646 | NPPES |
| Mississippi | MEDICAID | 05573591 |
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