Berger, Amy Marie
Berger, Amy Marie is an individual health care provider with primary practice located at 1615 Maple Lane , Ashland WI 54806. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Berger, Amy Marie can be contacted via phone (715) 685-6010.Contact Information
Primary practice address
1615 Maple Lane
Ashland WI 54806
Phone: (715) 685-6010
Fax: (719) 368-6872
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2775 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2775 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2775 | Colorado |
Profile Details
| NPI number | 1093991739 |
|---|---|
| LBN Legal business name | Berger, Amy Marie |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2008 |
| Last updated | Jul 9th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093991739 | NPPES |
| Colorado | MEDICAID | CO305010 | |
| Colorado | MEDICAID | 78601371 |
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