Berge, Jerica

Berge, Jerica is an individual health care provider with primary practice located at Umphysicians Broadway Family Medicine 1020 West Broadway, Minneapolis MN 55411. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Berge, Jerica can be contacted via phone (612) 302-8200.

Contact Information

Primary practice address
Umphysicians Broadway Family Medicine 1020 West Broadway Minneapolis MN 55411
Phone: (612) 302-8200
Fax: (612) 302-8275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1218 Minnesota

Profile Details

NPI number 1043254006
LBN Legal business name Berge, Jerica
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jul 9th, 2007 - about 17 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 1043254006 NPPES
Wisconsin MEDICAID 40992300
Wisconsin Other 62-66860
Wisconsin Other 1044097
Wisconsin Other 136417
Wisconsin Other HP37859

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