Berg, Jonathan Sanford

Berg, Jonathan Sanford is an individual health care provider with primary practice located at 5092 Genetics Medicine Building Unc - Chapel Hill, Cb # 7264, Chapel Hill NC 27599-7264. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Berg, Jonathan Sanford can be contacted via phone (919) 966-7043.

Contact Information

Primary practice address
5092 Genetics Medicine Building Unc - Chapel Hill, Cb # 7264 Chapel Hill NC 27599-7264
Phone: (919) 966-7043
Fax: (919) 843-0291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 2009-00418 North Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2009-00418 North Carolina

Profile Details

NPI number 1881892859
LBN Legal business name Berg, Jonathan Sanford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Jun 9th, 2009 - about 16 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 1881892859 NPPES
Texas MEDICAID 186355702
Texas MEDICAID 186355701

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