Berg, Heather Lynn
Berg, Heather Lynn is an individual health care provider with primary practice located at 3000 Williston Rd Suite 3, South Burlington VT 05403-6082. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Berg, Heather Lynn can be contacted via phone (802) 658-6092.Contact Information
Primary practice address
3000 Williston Rd Suite 3
South Burlington VT 05403-6082
Phone: (802) 658-6092
Fax: (802) 863-9565
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 040-0002889 | Vermont |
Profile Details
| NPI number | 1861526758 |
|---|---|
| LBN Legal business name | Berg, Heather Lynn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Mar 14th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861526758 | NPPES |
| Vermont | MEDICAID | 1006863 |
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