Thayer, Michael Robert Berg

Thayer, Michael Robert Berg is an sole proprietor health care provider with primary practice located at Madigan Army Medical Center 9040Jackson Ave Attn: Mchj-Clq-C, Tacoma WA 98431-1100. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Intermediate, which is considered as his primary health care specialty. Thayer, Michael Robert Berg can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
Madigan Army Medical Center 9040Jackson Ave Attn: Mchj-Clq-C Tacoma WA 98431-1100
Phone: (253) 968-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X A2008424
Emergency Medical Service Providers / Emergency Medical Technician, Intermediate 146M00000X MED-AEMT-LIC-40939 Montana

Profile Details

NPI number 1356889976
LBN Legal business name Thayer, Michael Robert Berg
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2017
Last updated Feb 2nd, 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.

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