Berg, Elizabeth M

Berg, Elizabeth M is an sole proprietor health care provider with primary practice located at 195 Little Albany St , New Brunswick NJ 08901-1914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Berg, Elizabeth M can be contacted via phone (732) 235-2465.

Contact Information

Primary practice address
195 Little Albany St New Brunswick NJ 08901-1914
Fax: (732) 235-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NJ000597 New Jersey

Profile Details

NPI number 1215956966
LBN Legal business name Berg, Elizabeth M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Sep 26th, 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 1215956966 NPPES
New Jersey MEDICAID 0111732

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