Berg, Robert E

Berg, Robert E is an individual health care provider with primary practice located at 1416 6Th St Sw , Mason City IA 50401-4818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berg, Robert E can be contacted via phone (641) 424-0102.

Contact Information

Primary practice address
1416 6Th St Sw Mason City IA 50401-4818
Phone: (641) 424-0102
Fax: (641) 424-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23046 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 36829 Iowa

Profile Details

NPI number 1366497943
LBN Legal business name Berg, Robert E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Apr 1st, 2021 - about 3 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 1366497943 NPPES
Nebraska MEDICAID 10024990500

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