Berg, Troy Lyman

Berg, Troy Lyman is an individual health care provider with primary practice located at 1200 Oakleaf Way Suite A, Altoona WI 54720-2245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Berg, Troy Lyman can be contacted via phone (715) 832-1400.

Contact Information

Primary practice address
1200 Oakleaf Way Suite A Altoona WI 54720-2245
Phone: (715) 832-1400
Fax: (715) 832-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 39869 Wisconsin

Profile Details

NPI number 1740216845
LBN Legal business name Berg, Troy Lyman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 17th, 2021 - 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 1740216845 NPPES
Wisconsin MEDICAID 32440300
Wisconsin Other 5725706
Wisconsin Other 54456
Wisconsin Other 1852957
Wisconsin Other 09 07598
Wisconsin Other 378L5BE
Wisconsin Other 09-07599
Wisconsin Other 137616600
Wisconsin Other P00171099

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