Berg, John Andrew
Berg, John Andrew is an sole proprietor health care provider with primary practice located at 221 Calumet Ave Sw , Desmet SD 57231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berg, John Andrew can be contacted via phone (605) 854-9100.Contact Information
Primary practice address
221 Calumet Ave Sw
Desmet SD 57231
Phone: (605) 854-9100
Fax: (605) 854-9238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4247 | South Dakota |
Profile Details
| NPI number | 1457321226 |
|---|---|
| LBN Legal business name | Berg, John Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 2nd, 2008 - 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 | 1457321226 | NPPES |
| South Dakota | MEDICAID | 5602487 | |
| South Dakota | Other | 23509 | |
| South Dakota | Other | 4996058 |
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