Berke, Gary M

Berke, Gary M is an sole proprietor health care provider with primary practice located at 2001 Winward Way Suite 100, San Mateo CA 94404-2499. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Berke, Gary M can be contacted via phone (650) 365-5861.

Contact Information

Primary practice address
2001 Winward Way Suite 100 San Mateo CA 94404-2499
Phone: (650) 365-5861
Fax: (650) 365-5896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CP1628
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CP1628

Profile Details

NPI number 1669490777
LBN Legal business name Berke, Gary M
Credentials MS, CP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2022 - about 4 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 1669490777 NPPES
California Other XB0016280 MEDICAL
California MEDICAID XB0016280 MEDICAL

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