Berg, Carolyn M

Berg, Carolyn M is an individual health care provider with primary practice located at 8110 S Yale Ave , Tulsa OK 74137-2291. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. Berg, Carolyn M can be contacted via phone (918) 583-4400.

Contact Information

Primary practice address
8110 S Yale Ave Tulsa OK 74137-2291
Phone: (918) 583-4400
Fax: (918) 583-7908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N6172 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 31095 Oklahoma
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X N6172 Texas
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 31095 Oklahoma

Profile Details

NPI number 1649589227
LBN Legal business name Berg, Carolyn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2010
Last updated Feb 1st, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649589227 NPPES
Oklahoma MEDICAID 200573930A

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