Berman, Micah Avner
Berman, Micah Avner is an individual health care provider with primary practice located at 200 University Ave E , Saint Paul MN 55101-2507. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Berman, Micah Avner can be contacted via phone (651) 291-2848.Contact Information
Primary practice address
200 University Ave E
Saint Paul MN 55101-2507
Phone: (651) 291-2848
Fax: (651) 602-6885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 59658 | Minnesota |
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | 59658 | Minnesota |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 59658 | Minnesota |
Profile Details
| NPI number | 1972747871 |
|---|---|
| LBN Legal business name | Berman, Micah Avner |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2009 |
| Last updated | Oct 22nd, 2018 - about 6 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 | 1972747871 | NPPES |
| Minnesota | Other | H400252166 | MEDICARE PTAN |
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