Doctor Name: | EDWARD EUGENE BERRETH |
NPI Number: | 1295878601 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRTT |
License Number: | 100506 |
Business Practice Address: | 909 12th Ave Delano, CA - 932152255 |
Business Phone Number: | 6617257438 |
Business Fax Number: | 6617255868 |
Mailing Address: | Po Box 645, DELANO |
State: | CA |
Postal Code: | 932160645 |
Phone Number: | 6617257438 |
Fax Number: | 6617255868 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 100506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |