Berg, Elin B.

Berg, Elin B. is an individual health care provider with primary practice located at 1035 Cheraw St. , Bennettsville SC 29512-0918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Berg, Elin B. can be contacted via phone (843) 454-0442.

Contact Information

Primary practice address
1035 Cheraw St. Bennettsville SC 29512-0918
Phone: (843) 454-0442
Fax: (843) 454-0212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X SC17897 South Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17897 South Carolina

Profile Details

NPI number 1033399126
LBN Legal business name Berg, Elin B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated May 28th, 2014 - about 10 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 1033399126 NPPES
South Carolina MEDICAID LL1736

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