Berg, Tadd William
Berg, Tadd William is an sole proprietor health care provider with primary practice located at 2030 14Th St Bldg 1830 , Fort Polk LA 71459-5302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Berg, Tadd William can be contacted via phone (337) 718-2913.Contact Information
Primary practice address
2030 14Th St Bldg 1830
Fort Polk LA 71459-5302
Phone: (337) 718-2913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 115081 | Iowa |
Profile Details
| NPI number | 1851906697 |
|---|---|
| LBN Legal business name | Berg, Tadd William |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 9th, 2020 |
| Last updated | Jul 15th, 2022 - about 2 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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