Berger, Jonathan A.

Berger, Jonathan A. is an individual health care provider with primary practice located at 5001 Us Highway 30 W Ste D , Fort Wayne IN 46818-9701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Berger, Jonathan A. can be contacted via phone (260) 432-1568.

Contact Information

Primary practice address
5001 Us Highway 30 W Ste D Fort Wayne IN 46818-9701
Phone: (260) 432-1568
Fax: (260) 432-4969
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01037032A Indiana

Profile Details

NPI number 1093790255
LBN Legal business name Berger, Jonathan A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 16th, 2016 - about 8 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 1093790255 NPPES
Indiana MEDICAID 100328240A
Indiana MEDICAID 1093790255
Indiana MEDICAID 0738358

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