Berk, Justin Lee
Berk, Justin Lee is an individual health care provider with primary practice located at 245 Chapman St Ste 100 , Providence RI 02905-4539. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Berk, Justin Lee can be contacted via phone (401) 444-6118.Contact Information
Primary practice address
245 Chapman St Ste 100
Providence RI 02905-4539
Phone: (401) 444-6118
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | MD16768 | Rhode Island |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD16768 | Rhode Island |
Profile Details
| NPI number | 1245625300 |
|---|---|
| LBN Legal business name | Berk, Justin Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2015 |
| Last updated | Jan 3rd, 2023 - about 3 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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