Berlly, Michael H

Berlly, Michael H is an individual health care provider with primary practice located at 751 S Bascom Ave Pm&R Dept, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Berlly, Michael H can be contacted via phone (408) 885-2021.

Contact Information

Primary practice address
751 S Bascom Ave Pm&R Dept San Jose CA 95128-2604
Phone: (408) 885-2021
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X G48188 California
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X G48188 California

Profile Details

NPI number 1679546766
LBN Legal business name Berlly, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679546766 NPPES
California MEDICAID 00G481880

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