Berger, Alisa Marie

Berger, Alisa Marie is an individual health care provider with primary practice located at 115 Abner Jackson Pkwy Ste C , Lake Jackson TX 77566-5157. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Berger, Alisa Marie can be contacted via phone (979) 297-4140.

Contact Information

Primary practice address
115 Abner Jackson Pkwy Ste C Lake Jackson TX 77566-5157
Phone: (979) 297-4140
Fax: (979) 297-4919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X M5052 Texas
Allopathic & Osteopathic Physicians / Urology 208800000X 82525 Wisconsin
Allopathic & Osteopathic Physicians / Urology 208800000X MD-46471 Iowa
Allopathic & Osteopathic Physicians / Urology 208800000X 01084523A Indiana

Profile Details

NPI number 1619017043
LBN Legal business name Berger, Alisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Aug 28th, 2023 - about last year

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 1619017043 NPPES
Texas MEDICAID 192360901

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