Berlacher, Mark
Berlacher, Mark is an individual health care provider with primary practice located at 1955 Dixie Hwy Ste E , Ft Wright KY 41011-2882. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berlacher, Mark can be contacted via phone (859) 292-4560.Contact Information
Primary practice address
1955 Dixie Hwy Ste E
Ft Wright KY 41011-2882
Phone: (859) 292-4560
Fax: (859) 292-4561
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35141460 | Ohio |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11017791A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 55150 | Kentucky |
Profile Details
| NPI number | 1104239797 |
|---|---|
| LBN Legal business name | Berlacher, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2014 |
| Last updated | Aug 16th, 2021 - about 5 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 | 1104239797 | NPPES |
| Ohio | MEDICAID | 0440583 |
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