Berg, Jeffrey A
Berg, Jeffrey A is an individual health care provider with primary practice located at 15855 19 Mile Rd , Clinton Twp MI 48038-3504. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Berg, Jeffrey A can be contacted via phone (586) 263-2370.Contact Information
Primary practice address
15855 19 Mile Rd
Clinton Twp MI 48038-3504
Phone: (586) 263-2370
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 4704142714 | Michigan |
Profile Details
NPI number | 1023151875 |
---|---|
LBN Legal business name | Berg, Jeffrey A |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 14th, 2007 |
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 | 1023151875 | NPPES |
Michigan | MEDICAID | 2697913 |
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