1952303596 NPI number — IVETA BERZINCH M.D., P.C.

Table of content: IVETA BERZINCH M.D., P.C. (NPI 1952303596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952303596 NPI number — IVETA BERZINCH M.D., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERZINCH
Provider First Name:
IVETA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D., P.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BERZINCH
Provider Other First Name:
IVETA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.C., P.C.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1952303596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1704 BOULEVARD SQUARE, SUITE B
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAYCROSS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-285-8866
Provider Business Mailing Address Fax Number:
912-285-8881

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1704 BOULEVARD SQ STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WAYCROSS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31501-8023
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-285-8866
Provider Business Practice Location Address Fax Number:
912-285-8881
Provider Enumeration Date:
08/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  043873 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000781954A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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