Berg, John C

Berg, John C is an individual health care provider with primary practice located at 2024 S 6Th St. , Brainerd MN 56401-3054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Berg, John C can be contacted via phone (218) 828-7100.

Contact Information

Primary practice address
2024 S 6Th St. Brainerd MN 56401-3054
Phone: (218) 828-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 30400 Minnesota

Profile Details

NPI number 1285612325
LBN Legal business name Berg, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285612325 NPPES
Minnesota MEDICAID 946800500

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