Berg, Kimberly
Berg, Kimberly is an individual health care provider with primary practice located at 1380 Tullar Rd , Neenah WI 54956-4440. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berg, Kimberly can be contacted via phone (920) 727-3480.Contact Information
Primary practice address
1380 Tullar Rd
Neenah WI 54956-4440
Phone: (920) 727-3480
Fax: (920) 727-3490
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39011 | Wisconsin |
Profile Details
| NPI number | 1962438960 |
|---|---|
| LBN Legal business name | Berg, Kimberly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Mar 4th, 2008 - about 17 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 | 1962438960 | NPPES |
| Wisconsin | MEDICAID | 32571300 |
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