Healthcare Provider Details

I. General information

NPI: 1578997292
Provider Name (Legal Business Name): HERCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2013
Last Update Date: 09/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

#1 ESTATE CANE SUNSHINE MALL SUITE 205
FREDERIKSTED VI
00840
US

IV. Provider business mailing address

PO BOX 216
CHRISTIANSTED VI
00821-0216
US

V. Phone/Fax

Practice location:
  • Phone: 340-773-0007
  • Fax: 340-772-5755
Mailing address:
  • Phone: 340-773-0007
  • Fax: 340-772-5755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1153
License Number StateVI

VIII. Authorized Official

Name: DR. MICHELE BARBARA BERKELEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 340-277-1003