Berg, Michael P
Berg, Michael P is an sole proprietor health care provider with primary practice located at 421 West Riverside #280, Spokane WA 99201. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Berg, Michael P can be contacted via phone (509) 838-2757.Contact Information
Primary practice address
421 West Riverside #280
Spokane WA 99201
Phone: (509) 838-2757
Fax: (509) 838-2184
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 13399 | Washington |
Profile Details
| NPI number | 1013970664 |
|---|---|
| LBN Legal business name | Berg, Michael P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 16th, 2010 - about 15 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 | 1013970664 | NPPES |
| Washington | MEDICAID | 1067602 |
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