Other Provider Identifier Issuer
MEDICAL BOARD OF CALIFORNIA MEDICAL LICENSE
MASSASCHUSETTS BLUE SH IELD PROVIDER NUMBER
BLUE CROSS / BLUE SHIELD OF MASSACHUSETTS
ARTICLES OF ORGANIZATION MICHIGAN E11672
DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS
BOARD OF CERTIFICATION /ACCREDITATION, INTERNATIONAL
MINNESOTA BOARD OF DENTISTRY LICENSE NUMBER
CALIFORNIA PHYSICIAN AND SURGEON LICENSE
MEDICAL BOARD OF CALIFORNIA MEDICAL LICENSE NUMBER
BOARD FOR ORTHOTISTS AND PROSTHISTS CERTIFICATION
UNIVERSITY OF ARIZONA GRADUATE MEDICAL LICENSE NUMBER
THE STATE EDUCATION DEPARTMENT DIVISION OF PROFESSIONAL LICENSING SERVICES
NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
BLUE CROSS BLUE SHIELD MASSACHUSETTS PIN
MEDICARE GROUP ; COLUMBIA MEMORIAL HOSPITAL
MEDICAL BOARD OF CALIFORNIA, PHYSICIAN AND SURGEON
MEDICARE, PROVIDER ID, PROVIDER IN A GROUP
NATIONAL CERTIFICATION AS FIRST ASSISTANT
NEW YORK STATE PERMIT MENTAL HEALTH COUNSELOR
MEDICARE GROUP# - FAMILY MEDICAL & MATERNITY CARE, PC
THE MEDICAL BOARD OF CALIFORNIA LICENSE NUMBER
HARBOR-UCLA FACULTY PRACTICE PLAN, A MEDICAL GROUP INC.
PALMETTO GBA OF VIRGINIA WARRENTON HEART
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CAADC
MICHIGAN CERTIFICATION BOARD FOR ADDICTION PROFESSIONALS CCS
NYS EDUCATION DEPARTMENT LIMITED RESIDENCY PERMIT TO PRACTICE PODIATRY
MEDICARE ID- TYPE UNSPECIFIED- DR ABRAMS
BLUE CROSS BLUE SHIELD (BROOKLYN OFFICE)
ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN#
ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR ,CA LIC#
MED BOARD OF CALIFORNIA PHYSICIAN & SURGEON
LICENSED MASTER SOCIAL WORK - LIMITED PERMIT
MARYLAND BOARD OF PHYSICIANS LICENSE NUMBER
NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS
MEDICARE ID NUMBER FOR AUDIOLOGY CONCEPTS
MEDICAL BOARD OF CALIFORNIA LICENSE NUMBER
CALIFORNIA STATE PHYSICIAN AND SURGEON LICENSE
FORENSIC COUNSELOR CLINICALLY CERTIFIED DOMESTIC VIOLENCE COUNSELOR
STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE
RAILROAD MEDICARE - GROUP - NORTHERN CAROLINA ORTHO
MEDICARE ID-TYPE UNSPECIFIED / SO. CALIFORNIA
BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS
STATE OF MD DEPT OF HEALTH AND MENTAL HYGIENE, DIVISION OF DRUG CONTROL
ARIZONA MEDICAL BOARD TRAINING LICENSE NUMBER
STATE OF MARYLAND, DEPARTMENT OF HEALTH AND MENTAL HYGIENE
ARIZONA MEDICAL BOARD RESIDENT TRAINING PERMIT
MEDICARE (OLD ID NUMBER .... STATE LICENSE)
PROVIDER TRANSACTION ACCOUNT NUMBER (PTAN)
THE BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
LEGACY # FOR INDIVIDUAL PROVIDER IN JG THERAPY LLC
MENTAL HEALTH COUNSELOR - LIMITED PERMIT
MARYLAND UNLICENSED MEDICAL PRACTITIONER NUMBER
OHIO BOARD OF SPEECH, LANGUAGE, PATHOLOGY & AUDIOLOGY
ACCREDIDATION-BOARD OF ORTHOTICS AND PROSTHETICS
STATE OF MARYLAND DEPT. OF HEALTH AND HYGIENE LICENSE AND REGISTRATION
MEDICARE PROVIDER TRANSACTION ACESS NUMBER
MEDICAL LICENSE, MEDICAL BOARD OF CALIFORNIA
NC BORD OF LICENSED PROFESSIONAL COUNSELORS
BLUE CROSS BLUE SHIELD TIN 133769257 PROVIDER #
CERTIFICATE OF REGISTRATION FOR CONTROLLED SUBSTANCES
LICENSED CLINICAL SOCIAL WORKER, NYS EDUCATION DEPARTMENT
MEDICARE PIN - BROOKVILLE MEDICAL CENTER
MEDICARE PIN - MADISON PARKSIDE MEDICAL CENTER
MEDICAL BOARD OF CALIFORNIA - CALIFORNIA MEDICAL LICENSE
MEDICARE GROUP PIN-HALPERN EYE ASSOCIATES, P. A.
MARYLAND STATE BOARD OF SOCIAL WORK EXAMINERS
NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
BLUE CROSS TRADITIONAL AND TRUST SUPPLEMENTAL
DEPARTMENT OF HEALTH AND MENTAL HYGIENE / LICENSED ACUPUNCTURIST
BCBS OF NE DIABETES EDUCATION PROVIDER NUMBER
LICENSED MENTAL HEALTH COUNSELOR PERMIT NUMBER
BLUE CROSS BLUE SHIELD PROFESSIONAL ASPECT
BOARD OF CERTIFICATION / ACCREDITATION, INTERNATIONAL
MEDICARE PART B - MASS IMMUNIZATIONS ROSTER
MEDICARE INDIVIDUAL PTAN FOR LOALITY 015
DEPT OF STATE HEALTH SERVICE CERTIFICATE OF X RAY REGISTRATION
STATE OF ARKANSAS OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION
DEPARTMENT OF HEALTH AND MENTAL HYGIENE, DIVISION OF DRUG CONTROL
MICHIGAN DEPT OF LABOUR AND ECONOMIC GROWT
TEMPORARY PERMIT AWAITING TO TAKE THE TEST FOR LICENSURE
NATIONAL ASSOCIATION FOR THE ADVANCEMENT OF PSYCHOANALYSIS (NAAP)
MASSACHUSETTS BLUE SHIELD PROVIDER NUMBER
NEW YORK STATE MENTAL HEALTH COUNSELOR PERMIT
BLUE CROSS/BLUE SHIELD INDIVIDUAL LEGACY
CLINTON URGENT CARE P.L.C MEDICARE NUMBER
BLUE CROSS & BLUE SHIELD OF MASSACHUSETTS
ALABAMA STATE BOARD OF PHARMACY INTERN/EXTERN LICENSE
UPIN REGISTRY ERROR - UPIN LISTED AS I59556
NORTH CAROLINA BOARD OF PHYSICAL THERAPY
BASIC UPIN ( WE ARE NOT MEDICARE PROVIDERS)
MEDICARE PARTICIPATING SUPPLIER IDENTIFICATION CODE
FIRST COAST SERV. OPTIONS MEDICARE PART B GOUP ID
MEDICARE GROUP PIN FOR HALPERN EYE ASSOCIATES, P. A.
MEDICARE GROUP PTAN FOR HALPERN MEDICAL SERVICES/HALPERN OPTHAMOLOGY ASSO
STATE OF MARYLAND CONTROLLED AND DANGEROUS SUBSTANCES REGISTRATION
BOARD OF CERTIFICATION AND ACCREDITATION FOR ORTHOTIC AND PROSTHETICS
MEDICARE PTAN ASSOCIATED WITH GROUP NPI 1629125752
HALPERN OPTHAMOLOGY ASSO GROUP MEDICARE ID
TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS
LICENSED MASSAGE THERAPIST, DEPT OF HEALTH AND MENTAL HYGIENE
STATE OF OHIO COUNSELOR, SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD
BLUE CROSS BLUE SHIELD BLUE CARE NETWORK