Berg, Eric Christopher

Berg, Eric Christopher is an sole proprietor health care provider with primary practice located at 115 Porter Drive , Middlebury VT 05753. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Berg, Eric Christopher can be contacted via phone (802) 388-5672.

Contact Information

Primary practice address
115 Porter Drive Middlebury VT 05753
Phone: (802) 388-5672
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 101-0027388 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 058370-23 New Hampshire

Profile Details

NPI number 1750426631
LBN Legal business name Berg, Eric Christopher
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 20th, 2010 - about 14 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 1750426631 NPPES
Vermont MEDICAID 1013329
Vermont MEDICAID 30346738
Vermont Other 69763

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