Berlin, Kenneth Alan
Berlin, Kenneth Alan is an individual health care provider with primary practice located at 876 Broadway , Raynham MA 02767-1797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Berlin, Kenneth Alan can be contacted via phone (508) 824-9500.Contact Information
Primary practice address
876 Broadway
Raynham MA 02767-1797
Phone: (508) 824-9500
Fax: (508) 824-9507
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52899 | Massachusetts |
Profile Details
| NPI number | 1487622007 |
|---|---|
| LBN Legal business name | Berlin, Kenneth Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487622007 | NPPES |
| Massachusetts | MEDICAID | 6182747 |
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