Berman, Matthew Dan
Berman, Matthew Dan is an sole proprietor health care provider with primary practice located at 112 S Hanley Rd Suite 130, Clayton MO 63105-3418. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berman, Matthew Dan can be contacted via phone (314) 862-5700.Contact Information
Primary practice address
112 S Hanley Rd Suite 130
Clayton MO 63105-3418
Phone: (314) 862-5700
Fax: (314) 862-6258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2001030176 | Missouri |
Profile Details
| NPI number | 1215156831 |
|---|---|
| LBN Legal business name | Berman, Matthew Dan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Jun 17th, 2014 - about 12 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 | 1215156831 | NPPES |
| Missouri | Other | 322365426 | MEDICARE PTAN |
| Missouri | Other | 157342 | MEDICARE PTAN |
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