Berman, Michael I

Berman, Michael I is an sole proprietor health care provider with primary practice located at 18700 N 64Th Dr Ste 301, Glendale AZ 85308-7114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berman, Michael I can be contacted via phone (623) 561-5437.

Contact Information

Primary practice address
18700 N 64Th Dr Ste 301 Glendale AZ 85308-7114
Fax: (623) 561-9320
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2440 Arizona

Profile Details

NPI number 1053314328
LBN Legal business name Berman, Michael I
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Jul 27th, 2011 - about 13 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 1053314328 NPPES
Arizona MEDICAID 057613

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