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Contact Information

JEFFREY A BERENSON MD A PROFESSIONAL CORPORATION
45081 LITTLE LAKE STREET
MENDOCINO, CA95460
 Phone: 707-937-1055
 Fax: 707-937-1061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY A BERENSON MD A PROFESSIONAL CORPORATION · (Female)

NPI # 1881625671
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2006
Last updated 04/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Other 00G395740 BLUE CROSS
  • CA Other 00G395740 BLUE SHIELD
  • CA Other 00G395740 MEDI-CAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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