Kerbavaz, Richard Joseph

Kerbavaz, Richard Joseph is an individual health care provider with primary practice located at 2316 Dwight Way , Berkeley CA 94704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kerbavaz, Richard Joseph can be contacted via phone (510) 845-4500.

Contact Information

Primary practice address
2316 Dwight Way Berkeley CA 94704
Phone: (510) 845-4500
Fax: (510) 845-0360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G432250 California

Profile Details

NPI number 1861428930
LBN Legal business name Kerbavaz, Richard Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Oct 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861428930 NPPES
California Other G43225 STATE LICENSE
California MEDICAID 00G432250 STATE LICENSE

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