Berg, Ingrid H
Berg, Ingrid H is an individual health care provider with primary practice located at 800 Compassion Way , Dodgeville WI 53533-1956. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Berg, Ingrid H can be contacted via phone (608) 930-8000.Contact Information
Primary practice address
800 Compassion Way
Dodgeville WI 53533-1956
Phone: (608) 930-8000
Fax: (608) 930-7270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 64149-21 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 64149-21 | Wisconsin |
Profile Details
| NPI number | 1073873766 |
|---|---|
| LBN Legal business name | Berg, Ingrid H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2012 |
| Last updated | Jan 19th, 2021 - about 4 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 | 1073873766 | NPPES |
| Wisconsin | Other | P01620800 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 1073873766 | RAILROAD MEDICARE |
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