Berg, Jonathan S
Berg, Jonathan S is an individual health care provider with primary practice located at 4102 Pinion Dr, 10Mdg , Asaf Academy CO 80840-2502. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berg, Jonathan S can be contacted via phone (719) 333-3107.Contact Information
Primary practice address
4102 Pinion Dr, 10Mdg
Asaf Academy CO 80840-2502
Phone: (719) 333-3107
Fax: (978) 477-0213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH1766 | Massachusetts |
Profile Details
| NPI number | 1912093147 |
|---|---|
| LBN Legal business name | Berg, Jonathan S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Mar 3rd, 2011 - about 15 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 | 1912093147 | NPPES |
| Massachusetts | MEDICAID | 1609998 | |
| Massachusetts | Other | BEY36332 |
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