Berger, Larry F
Berger, Larry F is an sole proprietor health care provider with primary practice located at 7525 Mitchell Road Suite 200B, Eden Prairie MN 55344-1957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Berger, Larry F can be contacted via phone (952) 657-5452.Contact Information
Primary practice address
7525 Mitchell Road Suite 200B
Eden Prairie MN 55344-1957
Phone: (952) 657-5452
Fax: (952) 657-5453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 29521 | Minnesota |
Profile Details
| NPI number | 1104803568 |
|---|---|
| LBN Legal business name | Berger, Larry F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Aug 5th, 2010 - about 15 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 | 1104803568 | NPPES |
| Minnesota | MEDICAID | 342392100 |
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