Berg, Susan
Berg, Susan is an individual health care provider with primary practice located at 311 W. Fairchild , Danville IL 61832-3876. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berg, Susan can be contacted via phone (217) 431-7650.Contact Information
Primary practice address
311 W. Fairchild
Danville IL 61832-3876
Phone: (217) 431-7650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 38999 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036133526 | Illinois |
Profile Details
| NPI number | 1043219736 |
|---|---|
| LBN Legal business name | Berg, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2005 |
| Last updated | Dec 9th, 2013 - about 12 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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