Berg, Anna Fay
Berg, Anna Fay is an individual health care provider with primary practice located at 1220 Dewey Ave , Wauwatosa WI 53213. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Berg, Anna Fay can be contacted via phone (414) 454-6707.Contact Information
Primary practice address
1220 Dewey Ave
Wauwatosa WI 53213
Phone: (414) 454-6707
Fax: (414) 454-6747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 56325-20 | Wisconsin |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 56325-20 | Wisconsin |
Profile Details
NPI number | 1598083057 |
---|---|
LBN Legal business name | Berg, Anna Fay |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2010 |
Last updated | Nov 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598083057 | NPPES |
Wisconsin | MEDICAID | 1598083057 |
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