Berlin, Michelle M

Berlin, Michelle M is an individual health care provider with primary practice located at 2206 Longo Dr Ste 107 , Bellevue NE 68005-2977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berlin, Michelle M can be contacted via phone (402) 734-4106.

Contact Information

Primary practice address
2206 Longo Dr Ste 107 Bellevue NE 68005-2977
Fax: (402) 734-0366
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 733 Nebraska

Profile Details

NPI number 1700099736
LBN Legal business name Berlin, Michelle M
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700099736 NPPES
Nebraska Other 733 NE PHYSICAN ASST. LICENSE

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