Berman, Mark S

Berman, Mark S is an individual health care provider with primary practice located at 406 S 30Th Ave Suite 101, Yakima WA 98902-3713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Berman, Mark S can be contacted via phone (509) 248-7715.

Contact Information

Primary practice address
406 S 30Th Ave Suite 101 Yakima WA 98902-3713
Phone: (509) 248-7715
Fax: (509) 248-2890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD00032484 Washington

Profile Details

NPI number 1215080379
LBN Legal business name Berman, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Mar 3rd, 2016 - about 10 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 1215080379 NPPES
Washington MEDICAID 8175440

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