Berkey, Elizabeth M
Berkey, Elizabeth M is an individual health care provider with primary practice located at 11055 Twin Creeks Cv , Fort Wayne IN 46845-2204. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Berkey, Elizabeth M can be contacted via phone (260) 425-6120.Contact Information
Primary practice address
11055 Twin Creeks Cv
Fort Wayne IN 46845-2204
Phone: (260) 425-6120
Fax: (260) 425-6115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 1520029 | Wisconsin |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 37002430A | Indiana |
Profile Details
| NPI number | 1528266764 |
|---|---|
| LBN Legal business name | Berkey, Elizabeth M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2007 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528266764 | NPPES |
| Wisconsin | Other | 1520029 | DIETICIAN STATE LICENSE |
| Wisconsin | Other | 0N99470 | DIETICIAN STATE LICENSE |
| Wisconsin | Other | 00864485 | DIETICIAN STATE LICENSE |
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