Berwick, James Edward

Berwick, James Edward is an individual health care provider with primary practice located at 3100 N Academy Blvd Ste 213, Colorado Springs CO 80917-5321. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berwick, James Edward can be contacted via phone (719) 579-4060.

Contact Information

Primary practice address
3100 N Academy Blvd Ste 213 Colorado Springs CO 80917-5321
Phone: (719) 579-4060
Fax: (719) 574-2140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 7202 Colorado

Profile Details

NPI number 1932250529
LBN Legal business name Berwick, James Edward
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1932250529 NPPES
Colorado MEDICAID 02072023

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