Berman, James Edward
Berman, James Edward is an individual health care provider with primary practice located at 7040 N Port Washington Rd Suite 404, Glendale WI 53217-3885. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Berman, James Edward can be contacted via phone (414) 355-2405.Contact Information
Primary practice address
7040 N Port Washington Rd Suite 404
Glendale WI 53217-3885
Phone: (414) 355-2405
Fax: (414) 355-6460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 27925 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 27925 | Wisconsin |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 27925 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 27925 | Wisconsin |
Profile Details
| NPI number | 1821047283 |
|---|---|
| LBN Legal business name | Berman, James Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Oct 12th, 2022 - about 4 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 | 1821047283 | NPPES |
| Wisconsin | Other | 52DO946226 | CLIA |
| Wisconsin | MEDICAID | 31392100 | CLIA |
| Wisconsin | Other | 391130058 | CLIA |
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