Ebenezer Berko
Medical Oncology Hematology & Oncology
3330 Masonic Dr
Alexandria
, Louisiana 71301-3841
Ebenezer Berko
Medical Oncology Hematology & Oncology
3330 Masonic Dr
Alexandria
, Louisiana 71301-3841
(318) 448-6866
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About
Features
Specialties
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Ebenezer Berko
- 3330 Masonic Dr
- Alexandria, LA
- Zip : 71301-3841
- Fax : (318) 448-6866
- Phone : (318) 448-6917
Second Address
- Ebenezer Berko
- 3330 Masonic Dr
- Alexandria, LA
- Zip : 71301-3841
- Fax : (318) 448-6866
- Phone : (318) 448-6917
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FAQs
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Is Ebenezer Berko accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | MD.204538 | LA |
| N | 207RX0202X | Medical Oncology | 036104008 | IL |
National Provider Identifier
| NPI | 1154366508 |
|---|---|
| Provider Name | Ebenezer Berko |
| First Address | Alexandria, LA 71301-3841 |
| Second Address | Alexandria, LA 71301-3841 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 28/06/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I33591 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.