Berg, Vanessa Victoria

Berg, Vanessa Victoria is an individual health care provider with primary practice located at 33 9Th St W , Dickinson ND 58601-3950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berg, Vanessa Victoria can be contacted via phone (701) 483-6017.

Contact Information

Primary practice address
33 9Th St W Dickinson ND 58601-3950
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10654 North Dakota

Profile Details

NPI number 1063627081
LBN Legal business name Berg, Vanessa Victoria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2007
Last updated Apr 13th, 2017 - about 8 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 1063627081 NPPES
North Dakota MEDICAID 14322
North Dakota Other 28710

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