Berens, Thomas Anthony
Berens, Thomas Anthony is an individual health care provider with primary practice located at 915 Nw 56Th Terrace , Gainesville FL 32605. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Berens, Thomas Anthony can be contacted via phone (352) 331-4333.Contact Information
Primary practice address
915 Nw 56Th Terrace
Gainesville FL 32605
Phone: (352) 331-4333
Fax: (352) 331-8382
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | P00001560 | Florida |
Profile Details
| NPI number | 1114938354 |
|---|---|
| LBN Legal business name | Berens, Thomas Anthony |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1114938354 | NPPES |
| Other | 87868 | BC/BS | |
| Other | 212012 | BC/BS |
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