Individual
PETER MORRIS BERLIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
839 CHIEF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-2740
(907) 543-6729
Mailing address
PO BOX 528, ATTN: BH MALONE HOME PROGRAM, BETHEL, AK 99559
(907) 543-2740
(907) 543-6729
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
01
—
7164641
DRIVER LICENSE
AK
Enumeration date
03/20/2015
Last updated
07/21/2022
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