Berggreen, Paul J
Berggreen, Paul J is an individual health care provider with primary practice located at 1300 N 12Th St #613, Phoenix AZ 85006-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Berggreen, Paul J can be contacted via phone (602) 254-5321.Contact Information
Primary practice address
1300 N 12Th St #613
Phoenix AZ 85006-2848
Phone: (602) 254-5321
Fax: (602) 254-6582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 21349 | Arizona |
Profile Details
| NPI number | 1093703605 |
|---|---|
| LBN Legal business name | Berggreen, Paul J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Feb 16th, 2017 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093703605 | NPPES |
| Arizona | MEDICAID | 131508-03 | |
| Arizona | MEDICAID | 131508 | |
| Arizona | Other | 317047 | |
| Arizona | Other | 120390 |
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