Berg, Tracy Marvin

Berg, Tracy Marvin is an sole proprietor health care provider with primary practice located at 2700 Dorr Ave Apt 526 , Fairfax VA 22031-4946. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Berg, Tracy Marvin can be contacted via phone (202) 246-0724.

Contact Information

Primary practice address
2700 Dorr Ave Apt 526 Fairfax VA 22031-4946
Phone: (202) 246-0724
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 0019002906 Virginia

Profile Details

NPI number 1467068916
LBN Legal business name Berg, Tracy Marvin
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 5 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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