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
Fax: (352) 331-8382
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114938354 NPPES
Other 87868 BC/BS
Other 212012 BC/BS

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