Berg, Jackson
Berg, Jackson is an individual health care provider with primary practice located at 1931 Rogers Rd Ste 102 , San Antonio TX 78251-4853. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Berg, Jackson can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
1931 Rogers Rd Ste 102
San Antonio TX 78251-4853
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 14312 | Texas |
Profile Details
| NPI number | 1316587819 |
|---|---|
| LBN Legal business name | Berg, Jackson |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2020 |
| Last updated | Oct 18th, 2023 - about last year |
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 | 1316587819 | NPPES |
| Texas | Other | 14312 | CHIROPRACTIC LICENSE |
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