Berg, Michel J

Berg, Michel J is an individual health care provider with primary practice located at 601 Elmwood Ave , Rochester NY 14642-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Berg, Michel J can be contacted via phone (585) 341-7500.

Contact Information

Primary practice address
601 Elmwood Ave Rochester NY 14642-0001
Fax: (585) 756-2311
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 165979 New York

Profile Details

NPI number 1639113723
LBN Legal business name Berg, Michel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 30th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639113723 NPPES
New York MEDICAID 01405316

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