Berg, Jeffrey William

Berg, Jeffrey William is an sole proprietor health care provider with primary practice located at 1169 Eastern Pkwy Ste 2211 , Louisville KY 40217-1444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Berg, Jeffrey William can be contacted via phone (502) 635-2775.

Contact Information

Primary practice address
1169 Eastern Pkwy Ste 2211 Louisville KY 40217-1444
Phone: (502) 635-2775
Fax: (502) 371-0475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 22581 Kentucky

Profile Details

NPI number 1376506022
LBN Legal business name Berg, Jeffrey William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Feb 27th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376506022 NPPES
Kentucky Other 164269100 DEPT OF LABOR
Kentucky Other 4466067 DEPT OF LABOR
Kentucky MEDICAID 64225816 DEPT OF LABOR
Kentucky Other 731879 DEPT OF LABOR
Kentucky Other 9237372003 DEPT OF LABOR
Kentucky Other 050071439 DEPT OF LABOR
Kentucky Other PASSPORT DEPT OF LABOR
Kentucky Other 000000112276 DEPT OF LABOR
Kentucky Other 2436583000 DEPT OF LABOR

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