Berg, Daniel Ralph

Berg, Daniel Ralph is an individual health care provider with primary practice located at 401 Holly Hills Ave , Saint Louis MO 63111-2410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Berg, Daniel Ralph can be contacted via phone (314) 353-5190.

Contact Information

Primary practice address
401 Holly Hills Ave Saint Louis MO 63111-2410
Phone: (314) 353-5190
Fax: (314) 353-7631
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2002001981 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2002001981 Missouri

Profile Details

NPI number 1013947555
LBN Legal business name Berg, Daniel Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jan 18th, 2022 - about 3 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 1013947555 NPPES
Missouri MEDICAID 202846804

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