Berg, John Howard

Berg, John Howard is an individual health care provider with primary practice located at 1400 1St St Ne , New Prague MN 56071-2215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berg, John Howard can be contacted via phone (952) 758-2535.

Contact Information

Primary practice address
1400 1St St Ne New Prague MN 56071-2215
Fax: (952) 548-6160
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18675 Minnesota
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 18675 Minnesota

Profile Details

NPI number 1518958214
LBN Legal business name Berg, John Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 1st, 2010 - about 14 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 1518958214 NPPES
Minnesota MEDICAID 476368800

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