Berg, Deborah B

Berg, Deborah B is an individual health care provider with primary practice located at 3604 Bush St , Raleigh NC 27609-7511. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Renal, which is considered as her primary health care specialty. Berg, Deborah B can be contacted via phone (919) 876-7807.

Contact Information

Primary practice address
3604 Bush St Raleigh NC 27609-7511
Phone: (919) 876-7807
Fax: (919) 876-8823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Renal 133VN1005X L001653 North Carolina

Profile Details

NPI number 1376602391
LBN Legal business name Berg, Deborah B
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1376602391 NPPES
North Carolina Other 2994338 PERFORMING PROVIDED NUMBE

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