Berg, Howard Lysle
Berg, Howard Lysle is an individual health care provider with primary practice located at 13 Medical Dr , Amarillo TX 79106-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Berg, Howard Lysle can be contacted via phone (806) 358-4531.Contact Information
Primary practice address
13 Medical Dr
Amarillo TX 79106-4121
Phone: (806) 358-4531
Fax: (806) 359-1723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | F7697 | Texas |
Profile Details
| NPI number | 1720070352 |
|---|---|
| LBN Legal business name | Berg, Howard Lysle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1720070352 | NPPES |
| Texas | MEDICAID | 089689602 |
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