Berg, Joseph Chandler

Berg, Joseph Chandler is an individual health care provider with primary practice located at 2709 Meredyth Dr Suite 110, Albany GA 31707-0222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berg, Joseph Chandler can be contacted via phone (229) 432-7012.

Contact Information

Primary practice address
2709 Meredyth Dr Suite 110 Albany GA 31707-0222
Phone: (229) 432-7012
Fax: (229) 435-0211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 021643 Georgia

Profile Details

NPI number 1962498204
LBN Legal business name Berg, Joseph Chandler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 4th, 2012 - about 13 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 1962498204 NPPES
Georgia MEDICAID 00070188B

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