Berg, Lucretia Ann
Berg, Lucretia Ann is an individual health care provider with primary practice located at 12310 138Th Ave E , Puyallup WA 98374-4539. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Berg, Lucretia Ann can be contacted via phone (253) 973-1181.Contact Information
Primary practice address
12310 138Th Ave E
Puyallup WA 98374-4539
Phone: (253) 973-1181
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00000852 | Washington |
Profile Details
NPI number | 1871559997 |
---|---|
LBN Legal business name | Berg, Lucretia Ann |
Credentials | MSOT, OTR/L |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 26th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1871559997 | NPPES |
Washington | MEDICAID | 7682495 | |
Washington | Other | 11216858 | |
Washington | Other | 7746376 | |
Washington | Other | BA8965 |
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