Berg, Richard C

Berg, Richard C is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berg, Richard C can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 448-8027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056973A Indiana

Profile Details

NPI number 1124097977
LBN Legal business name Berg, Richard C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 1st, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124097977 NPPES
Indiana Other 10923010 CAQH NUMBER
Indiana MEDICAID 200402790 CAQH NUMBER
Indiana Other 000000248484 CAQH NUMBER
Indiana Other 467264 CAQH NUMBER
Indiana Other G34750 CAQH NUMBER

Popular Providers