Berg, Eric Edward
Berg, Eric Edward is an individual health care provider with primary practice located at 5461 Meridian Marks Rd Ste 130 , Atlanta GA 30342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Berg, Eric Edward can be contacted via phone (404) 255-2033.Contact Information
Primary practice address
5461 Meridian Marks Rd Ste 130
Atlanta GA 30342
Phone: (404) 255-2033
Fax: (404) 252-1901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 78940 | Georgia |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | P2593 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD441701 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | MD441701 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | P2593 | Texas |
Profile Details
| NPI number | 1265619696 |
|---|---|
| LBN Legal business name | Berg, Eric Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2008 |
| Last updated | May 31st, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265619696 | NPPES |
| Georgia | MEDICAID | 003199122 |
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