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:
Health care specialties
| Specialty | Code | License # | 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 10 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 | 1073506523 | NPPES |
| New Hampshire | MEDICAID | 30010506 |
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