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
Phone: (920) 686-2333
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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