Berg, Molly Rebecca

Berg, Molly Rebecca is an individual health care provider with primary practice located at 1417 S Cliff Ave Ste 100, Sioux Falls SD 57105-1063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Perinatal, which is considered as her primary health care specialty. Berg, Molly Rebecca can be contacted via phone (605) 322-8937.

Contact Information

Primary practice address
1417 S Cliff Ave Ste 100 Sioux Falls SD 57105-1063
Phone: (605) 322-8937
Fax: (605) 322-8938
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Perinatal 363LP1700X CP000444 South Dakota

Profile Details

NPI number 1902878523
LBN Legal business name Berg, Molly Rebecca
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Oct 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902878523 NPPES
Minnesota Other 924114229808 PRIMEWEST
Minnesota Other 9243925 PRIMEWEST
Minnesota MEDICAID 0503706 PRIMEWEST
Minnesota Other 2387950 PRIMEWEST
Minnesota Other 370624200 PRIMEWEST
Minnesota Other HP55698 PRIMEWEST
Minnesota MEDICAID 10025040700 PRIMEWEST
Minnesota MEDICAID 6828250 PRIMEWEST
Minnesota Other 0705288 PRIMEWEST
Minnesota Other 263P6DA PRIMEWEST
Minnesota MEDICAID 6828252 PRIMEWEST
Minnesota Other 283761045257 PRIMEWEST
Minnesota Other 57105AD04 PRIMEWEST
Minnesota Other 263P6DA PRIMEWEST
Minnesota Other 4994372 PRIMEWEST
Minnesota MEDICAID 122586300 PRIMEWEST
Minnesota Other 248008 PRIMEWEST

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