MR. LARRY JAY BERMAN USCG CORPSMAN NPI 1114905692

NPI Information

NPI: 1114905692
Provider Name: MR. LARRY JAY BERMAN, USCG CORPSMAN
Classification: Military Health Care Provider - 171000000X
Entity Type: Individual
Address:
USCGC TAHOMA (WMEC-908)
C/O PNSY BUILDING 170
PORTSMOUTH, NH
ZIP 03804
Phone: (603) 918-8735
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MR. Larry Jay Berman, USCG CORPSMAN is a military health care provider in Portsmouth, NH. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. MR. Larry Jay Berman, USCG CORPSMAN NPI is 1114905692. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

USCGC TAHOMA (WMEC-908)
C/O PNSY BUILDING 170
PORTSMOUTH, NH
ZIP 03804-000
Phone: (603) 918-8735
Fax: (207) 438-6655

The enumeration date for this NPI number is 1/5/2006 and was last updated on 6/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171000000X	Military Health Care Provider				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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