Berger, Robert A

Berger, Robert A is an individual health care provider with primary practice located at 77 W Forest Ave Ste 201 , Flagstaff AZ 86001-1483. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berger, Robert A can be contacted via phone (928) 773-2222.

Contact Information

Primary practice address
77 W Forest Ave Ste 201 Flagstaff AZ 86001-1483
Fax: (928) 773-2598
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25665 Arizona

Profile Details

NPI number 1417926874
LBN Legal business name Berger, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 12th, 2020 - about 4 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 1417926874 NPPES
Arizona Other 1417926874 AETNA
Arizona Other 1417926874 AETNA
Arizona Other 1417926874 AETNA
Arizona Other 1417926874 AETNA
Arizona Other 1417926874 AETNA
Arizona MEDICAID 853491 AETNA
Arizona Other Z81338 AETNA
Arizona Other AZ0755200 AETNA

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