Berg, Mary Eileen

Berg, Mary Eileen is an individual health care provider with primary practice located at 600 N Mountain Ave Suite A104, Upland CA 91786-4359. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Berg, Mary Eileen can be contacted via phone (909) 931-1033.

Contact Information

Primary practice address
600 N Mountain Ave Suite A104 Upland CA 91786-4359
Phone: (909) 931-1033
Fax: (909) 981-8976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 389253 California

Profile Details

NPI number 1336352939
LBN Legal business name Berg, Mary Eileen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Nov 8th, 2010 - about 14 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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