Berg, Zachary
Berg, Zachary is an individual health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 5000 , O Fallon IL 62269-1282. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Berg, Zachary can be contacted via phone (618) 641-5803.Contact Information
Primary practice address
3 Saint Elizabeth Blvd Ste 5000
O Fallon IL 62269-1282
Phone: (618) 641-5803
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036150902 | Illinois |
Profile Details
NPI number | 1255741278 |
---|---|
LBN Legal business name | Berg, Zachary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 29th, 2014 |
Last updated | Jul 1st, 2020 - about 5 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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