Berg, Brian
Berg, Brian is an individual health care provider with primary practice located at 1210 Crossfield Dr , Apopka FL 32703-1540. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Berg, Brian can be contacted via phone (407) 921-3968.Contact Information
Primary practice address
1210 Crossfield Dr
Apopka FL 32703-1540
Phone: (407) 921-3968
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Emergency Medical Service Providers / Emergency Medical Technician, Basic | 146N00000X | EMT 539865 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1874 | Alabama |
Profile Details
NPI number | 1679989149 |
---|---|
LBN Legal business name | Berg, Brian |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 6th, 2014 |
Last updated | Jul 29th, 2016 - about 9 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 | 1679989149 | NPPES |
Florida | Other | E3033546 | NREMT |
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