Berg, Patrick Thomas

Berg, Patrick Thomas is an sole proprietor health care provider with primary practice located at 2719 Calumet Ave , Manitowoc WI 54220-5546. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Berg, Patrick Thomas can be contacted via phone (920) 686-2333.

Contact Information

Primary practice address
2719 Calumet Ave Manitowoc WI 54220-5546
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1002406-15 Wisconsin

Profile Details

NPI number 1770195810
LBN Legal business name Berg, Patrick Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2020
Last updated Aug 19th, 2020 - about 4 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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