Berg, Wayne

Berg, Wayne is an individual health care provider with primary practice located at 2965 W 3500 S , West Valley City UT 84119-3602. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Berg, Wayne can be contacted via phone (801) 965-3600.

Contact Information

Primary practice address
2965 W 3500 S West Valley City UT 84119-3602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 6353658-4405 Utah

Profile Details

NPI number 1851813299
LBN Legal business name Berg, Wayne
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2017
Last updated Jun 29th, 2023 - about last year

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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