Berg, Elizabeth M

Berg, Elizabeth M is an individual health care provider with primary practice located at 9 Richland Medical Park Dr Ste 500 , Columbia SC 29203-6870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Berg, Elizabeth M can be contacted via phone (803) 434-4555.

Contact Information

Primary practice address
9 Richland Medical Park Dr Ste 500 Columbia SC 29203-6870
Phone: (803) 434-4555
Fax: (803) 434-4599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APN142 South Carolina

Profile Details

NPI number 1104866771
LBN Legal business name Berg, Elizabeth M
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jun 30th, 2021 - about 4 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 1104866771 NPPES
South Carolina Other AA3422F935 MEDICARE
South Carolina MEDICAID NP1724 MEDICARE

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