Berg, Mary Jean

Berg, Mary Jean is an individual health care provider with primary practice located at 1100 Carson Ave , La Junta CO 81050-2751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Berg, Mary Jean can be contacted via phone (800) 893-9698.

Contact Information

Primary practice address
1100 Carson Ave La Junta CO 81050-2751
Phone: (800) 893-9698
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17415 Colorado

Profile Details

NPI number 1245372648
LBN Legal business name Berg, Mary Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - 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.

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