Provider Demographics
NPI:1891515904
Name:KREBS, BERLIN (CD)
Entity type:Individual
Prefix:
First Name:BERLIN
Middle Name:
Last Name:KREBS
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4714
Mailing Address - Country:US
Mailing Address - Phone:845-772-2585
Mailing Address - Fax:
Practice Address - Street 1:768 GLEN AVE
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4714
Practice Address - Country:US
Practice Address - Phone:845-772-2585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula