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:
Health care specialties
Specialty | Code | License # | 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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