Berg, Eugene Elliot

Berg, Eugene Elliot is an individual health care provider with primary practice located at 4 Hawthorne Dr , Bedford NH 03110-6912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Berg, Eugene Elliot can be contacted via phone (603) 472-8888.

Contact Information

Primary practice address
4 Hawthorne Dr Bedford NH 03110-6912
Phone: (603) 472-8888
Fax: (603) 472-9090
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 9793 New Hampshire

Profile Details

NPI number 1073506523
LBN Legal business name Berg, Eugene Elliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Sep 17th, 2014 - about 11 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 1073506523 NPPES
New Hampshire MEDICAID 30010506

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