Berg, Tony L

Berg, Tony L is an individual health care provider with primary practice located at 809 Jackson St , Burke SD 57523-2065. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berg, Tony L can be contacted via phone (605) 775-2631.

Contact Information

Primary practice address
809 Jackson St Burke SD 57523-2065
Phone: (605) 775-2631
Fax: (605) 775-2564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2460 South Dakota

Profile Details

NPI number 1053492827
LBN Legal business name Berg, Tony L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Oct 25th, 2022 - 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 1053492827 NPPES
South Dakota MEDICAID 560052
South Dakota Other 0851370001
South Dakota MEDICAID 5600050

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