Berg, Fanny J
Berg, Fanny J is an sole proprietor health care provider with primary practice located at 2000 Foulk Rd Suite A, Wilmington DE 19810-3642. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Berg, Fanny J can be contacted via phone (302) 475-8000.Contact Information
Primary practice address
2000 Foulk Rd Suite A
Wilmington DE 19810-3642
Phone: (302) 475-8000
Fax: (302) 475-8043
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C1-0002879 | Delaware |
Profile Details
| NPI number | 1720182256 |
|---|---|
| LBN Legal business name | Berg, Fanny J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jul 15th, 2015 - 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 | 1720182256 | NPPES |
| Delaware | MEDICAID | 0000035901 |
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