Berg, Gloria J

Berg, Gloria J is an sole proprietor health care provider with primary practice located at 831 S Broadway , Minot ND 58701-4636. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Berg, Gloria J can be contacted via phone (701) 857-5703.

Contact Information

Primary practice address
831 S Broadway Minot ND 58701-4636
Fax: (701) 857-5909
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R17322 North Dakota

Profile Details

NPI number 1679661003
LBN Legal business name Berg, Gloria J
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Apr 16th, 2023 - about 2 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 1679661003 NPPES
North Dakota MEDICAID 19546

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