Berg, Joel Howard

Berg, Joel Howard is an individual health care provider with primary practice located at 1959 Ne Pacific St B242, Seattle WA 98195-7136. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Berg, Joel Howard can be contacted via phone (206) 543-4885.

Contact Information

Primary practice address
1959 Ne Pacific St B242 Seattle WA 98195-7136
Phone: (206) 543-4885
Fax: (206) 616-7470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE00008754 Washington
Dental Providers / Pediatric Dentistry 1223P0221X DS029281R Pennsylvania

Profile Details

NPI number 1063574598
LBN Legal business name Berg, Joel Howard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063574598 NPPES
Washington MEDICAID 5041066

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