Berman, Blake Wade
Berman, Blake Wade is an sole proprietor health care provider with primary practice located at 16702 Valley View Ave , La Mirada CA 90638-5824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Berman, Blake Wade can be contacted via phone (143) 675-3907.Contact Information
Primary practice address
16702 Valley View Ave
La Mirada CA 90638-5824
Phone: (143) 675-3907
Fax: (714) 367-1683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 20A8839 | California |
Profile Details
| NPI number | 1023164365 |
|---|---|
| LBN Legal business name | Berman, Blake Wade |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2007 |
| Last updated | Apr 18th, 2020 - about 5 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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