Berge, Jennifer K

Berge, Jennifer K is an individual health care provider with primary practice located at 1225 S Gear Ave Ste 255, West Burlington IA 52655-1691. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Otolaryngology is her primary health care specialty. Berge, Jennifer K can be contacted via phone (319) 752-2725.

Contact Information

Primary practice address
1225 S Gear Ave Ste 255 West Burlington IA 52655-1691
Phone: (319) 752-2725
Fax: (319) 753-1084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 34553 Iowa
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 34553 Iowa
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 34553 Iowa
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X 34553 Iowa

Profile Details

NPI number 1063492361
LBN Legal business name Berge, Jennifer K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Feb 4th, 2014 - about 10 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 1063492361 NPPES
Iowa Other 06724 WELLMARK GROUP #
Iowa MEDICAID 0260893 WELLMARK GROUP #
Iowa Other 49542 WELLMARK GROUP #

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