Berg, Thomas D

Berg, Thomas D is an sole proprietor health care provider with primary practice located at 3089 Anita Dr Ne , Iowa City IA 52240-9506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berg, Thomas D can be contacted via phone (319) 339-4284.

Contact Information

Primary practice address
3089 Anita Dr Ne Iowa City IA 52240-9506
Phone: (319) 339-4284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32176 Iowa

Profile Details

NPI number 1134175219
LBN Legal business name Berg, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134175219 NPPES
Iowa Other 27680 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 4210245 BLUE CROSS BLUE SHIELD
Iowa Other 19308 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 3210245 BLUE CROSS BLUE SHIELD
Iowa Other 27683 BLUE CROSS BLUE SHIELD

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