Berg, Jerry Anne

Berg, Jerry Anne is an sole proprietor health care provider with primary practice located at 2420 Lake Ave , Ashtabula OH 44004-4954. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berg, Jerry Anne can be contacted via phone (440) 998-0322.

Contact Information

Primary practice address
2420 Lake Ave Ashtabula OH 44004-4954
Fax: (440) 998-4525
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06161721 Ohio

Profile Details

NPI number 1467900951
LBN Legal business name Berg, Jerry Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2016
Last updated Sep 14th, 2016 - about 9 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.

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