Berger, Jacob

Berger, Jacob is an individual health care provider with primary practice located at 830 Chalkstone Ave Providence Va Medical Center, Dept Of Neurology, Providence RI 02908-4734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Berger, Jacob can be contacted via phone (401) 273-7100.

Contact Information

Primary practice address
830 Chalkstone Ave Providence Va Medical Center, Dept Of Neurology Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD12584 Rhode Island

Profile Details

NPI number 1457413379
LBN Legal business name Berger, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Mar 7th, 2023 - 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 1457413379 NPPES
Rhode Island Other 12584 RI LICENSE
Rhode Island Other 2575620 RI LICENSE
Rhode Island MEDICAID 02682699 RI LICENSE
Rhode Island Other 790791 RI LICENSE
Rhode Island Other P3628039 RI LICENSE

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