Berg, Cynthia Louise

Berg, Cynthia Louise is an individual health care provider with primary practice located at 9449 W Forest Home Ave , Hales Corners WI 53130-1611. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Berg, Cynthia Louise can be contacted via phone (414) 529-6888.

Contact Information

Primary practice address
9449 W Forest Home Ave Hales Corners WI 53130-1611
Phone: (414) 529-6888
Fax: (414) 529-1271
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 2767-024 Wisconsin

Profile Details

NPI number 1902079320
LBN Legal business name Berg, Cynthia Louise
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2008
Last updated Apr 7th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902079320 NPPES
Wisconsin MEDICAID 40169200

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