Tracy A Berg M.D., P.S.

LBN: Tracy A Berg M.D., P.S.
Tracy A Berg M.D., P.S. is an health care organization with primary practice located at 235 E Rowan Ave Suite 204, Spokane WA 99207-1240. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Tracy A Berg M.D., P.S. can be contacted via phone (509) 344-3100, or through Berg, Tracy A via phone (509) 344-3100.

Contact Information

Primary practice address
235 E Rowan Ave Suite 204 Spokane WA 99207-1240
Phone: (509) 344-3100
Fax: (509) 344-3104
Website:
Map and Directions
Authorized official contact:
Name: Berg, Tracy A M.D., P.S.
Phone: (509) 344-3100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD000032615 Washington

Profile Details

NPI number 1952527111
LBN Legal business name Tracy A Berg M.D., P.S.
DBA Doing business as
Authorized official Berg, Tracy A M.D., P.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jan 13th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952527111 NPPES
Washington MEDICAID 1123884

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