Berwick, Alfred Glen

Berwick, Alfred Glen is an sole proprietor health care provider with primary practice located at 508 Medical Center Blvd Suite 200, Conroe TX 77304-2808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berwick, Alfred Glen can be contacted via phone (936) 760-4600.

Contact Information

Primary practice address
508 Medical Center Blvd Suite 200 Conroe TX 77304-2808
Phone: (936) 760-4600
Fax: (936) 760-4601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E6039 Texas

Profile Details

NPI number 1962423970
LBN Legal business name Berwick, Alfred Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2006
Last updated Nov 15th, 2012 - about 14 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 1962423970 NPPES
Texas MEDICAID 115194602

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