Berke, Steven L
Berke, Steven L is an sole proprietor health care provider with primary practice located at 130 New London Tpke , Norwich CT 06360-2624. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Berke, Steven L can be contacted via phone (860) 886-0651.Contact Information
Primary practice address
130 New London Tpke
Norwich CT 06360-2624
Phone: (860) 886-0651
Fax: (860) 823-1577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | 006728 | Connecticut |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 006728 | Connecticut |
Profile Details
| NPI number | 1275527772 |
|---|---|
| LBN Legal business name | Berke, Steven L |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Sep 30th, 2013 - about 13 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 | 1275527772 | NPPES |
| Connecticut | Other | 190000670 | MEDICARE |
| Connecticut | Other | 020006728CT01 | MEDICARE |
| Connecticut | Other | 5477144 | MEDICARE |
| Connecticut | MEDICAID | 004083333 | MEDICARE |
Popular Providers
-
Sitters, Michael Andrew
21301 Kuykendahl Rd Ste G , Spring TX 77379-2614 -
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Lapp, Thomas H
10972 Allisonville Rd Suite 100, Fishers IN 46038-2637 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Reynolds, Edward
47 Town St , Norwich CT 06360-2315 -
Peacock, Edgar Harold
2750 Laurel St Ste 202, Columbia SC 29204-2024 -
Lichtenstein, Jerome Leland
113 Lafayette St , Norwich CT 06360-2708 -
Sullivan, Steven M
1000 N Lincoln Blvd Ste 200, Oklahoma City OK 73104-3252