Berg, Marie Therese
Berg, Marie Therese is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-4634. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Berg, Marie Therese can be contacted via phone (352) 265-0301.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-4634
Phone: (352) 265-0301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | ME133202 | Florida |
Profile Details
| NPI number | 1427216068 |
|---|---|
| LBN Legal business name | Berg, Marie Therese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2008 |
| Last updated | Dec 30th, 2022 - about 2 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 | 1427216068 | NPPES |
| Florida | MEDICAID | 021864300 |
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