Berger, Lonnie William

Berger, Lonnie William is an individual health care provider with primary practice located at 712 S Cascade St , Fergus Falls MN 56537-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berger, Lonnie William can be contacted via phone (218) 736-8000.

Contact Information

Primary practice address
712 S Cascade St Fergus Falls MN 56537-2913
Fax: (218) 739-6718
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38597 Minnesota

Profile Details

NPI number 1063491751
LBN Legal business name Berger, Lonnie William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Feb 17th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063491751 NPPES
Minnesota MEDICAID 255016400

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