Berge, Laurel R

Berge, Laurel R is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Berge, Laurel R can be contacted via phone (505) 983-3361.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (505) 983-3361
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2003-0077 New Mexico

Profile Details

NPI number 1811944853
LBN Legal business name Berge, Laurel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Feb 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811944853 NPPES
New Mexico MEDICAID 90085094
New Mexico Other 193824
New Mexico Other 28118
New Mexico Other 14924

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