Active NPIIndividual provider

Dr. Ethan M Berke, MD, MPH

Family Medicine in Lebanon, New Hampshire

NPI Number1902858855
Practice location
18 Old Etna RD, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766
Fax
603-650-4198
Last updated
October 10, 2022

Ethan Michael Berke is a Family Medicine based in Lebanon, NH. Ethan Michael Berke practices in Lebanon, NH and has the professional credentials of MD, MPH. The NPI Number for Ethan Michael Berke is 1902858855 and holds a License No. md00035349 (WA). The current practice location address for Ethan Michael Berke is 18 Old Etna RD, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766 and can be reached out via phone at 603-650-4000 and via fax at 603-650-4198.

Provider Profile Details

NPI Number
1902858855
Provider Name
Ethan Michael Berke
Credential
MD, MPH
Provider Entity Type
Individual
Gender
Male
Address
18 Old Etna RD, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766
Phone Number
603-650-4000
Fax Number
603-650-4198
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 17, 2006
Last Update Date
October 10, 2022
Certification Date
October 10, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 Old Etna RD
Dhmc - Department Of Community And Family Medicine
Lebanon, NH 03766
Zip
03766
Phone Number
603-650-4000
Fax Number
603-650-4198
Lebanon, NH 03766Get directions →

Provider Business Mailing Address Details

Address
1 Medical Center Dr
Dhmc - Department Of Community And Family Medicine
Lebanon, NH 03756-1000
City
Lebanon
State
NH
Zip
03756-1000

License Information

License Number (1)
md00035349
License State (1)
WA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
13084
License State (2)
NH
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
63043
License State (3)
MN
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ethan M Berke, MD, MPH?

The NPI number of Dr. Ethan M Berke, MD, MPH is 1902858855. It was assigned on May 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ethan M Berke, MD, MPH?

Dr. Ethan M Berke, MD, MPH is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in WA under license number md00035349.

Where does Dr. Ethan M Berke, MD, MPH practice?

The practice location is 18 Old Etna RD, Dhmc - Department Of Community And Family Medicine, Lebanon, NH 03766. The office can be reached at 603-650-4000 (phone) or 603-650-4198 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902858855 directly on the NPPES registry website.

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