Berman, Michelle A

Berman, Michelle A is an individual health care provider with primary practice located at 1237 S Val Vista Dr , Mesa AZ 85204-6401. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Berman, Michelle A can be contacted via phone (480) 294-6543.

Contact Information

Primary practice address
1237 S Val Vista Dr Mesa AZ 85204-6401
Phone: (480) 294-6543
Fax: (480) 294-6544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 805576 Arizona

Profile Details

NPI number 1841245172
LBN Legal business name Berman, Michelle A
Credentials MS, RDN, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Mar 30th, 2015 - about 9 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 1841245172 NPPES
Arizona MEDICAID 167785
Arizona Other 21110036
Arizona Other 805576

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