Berg, Michael S

Berg, Michael S is an sole proprietor health care provider with primary practice located at 405 W Country Club Rd , Roswell NM 88201-5209. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Berg, Michael S can be contacted via phone (505) 622-8170.

Contact Information

Primary practice address
405 W Country Club Rd Roswell NM 88201-5209
Phone: (505) 622-8170
Fax: (505) 624-8711
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4961614-4406 Utah
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R59727 New Mexico

Profile Details

NPI number 1023179801
LBN Legal business name Berg, Michael S
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
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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