Berke, Jay Paul

Berke, Jay Paul is an individual health care provider with primary practice located at 4105 Holiday St Nw , Canton OH 44718-2531. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Berke, Jay Paul can be contacted via phone (330) 494-2097.

Contact Information

Primary practice address
4105 Holiday St Nw Canton OH 44718-2531
Phone: (330) 494-2097
Fax: (330) 494-9750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 35040523 Ohio

Profile Details

NPI number 1598799280
LBN Legal business name Berke, Jay Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 6th, 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 1598799280 NPPES
Ohio MEDICAID 0338996

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