Berg, William Travis

Berg, William Travis is an individual health care provider with primary practice located at 101 Nicolls Road Hsc T9-040, Stony Brook NY 11794. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Berg, William Travis can be contacted via phone (631) 444-1910.

Contact Information

Primary practice address
101 Nicolls Road Hsc T9-040 Stony Brook NY 11794
Phone: (631) 444-1910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD16713 Rhode Island
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X 298949 New York

Profile Details

NPI number 1184068520
LBN Legal business name Berg, William Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2013
Last updated Apr 10th, 2022 - about 2 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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