Berg, Bethany
Berg, Bethany is an individual health care provider with primary practice located at 2300 S 16Th St Trauma Department, Lincoln NE 68502-3704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Berg, Bethany can be contacted via phone (402) 481-4167.Contact Information
Primary practice address
2300 S 16Th St Trauma Department
Lincoln NE 68502-3704
Phone: (402) 481-4167
Fax: (402) 481-5100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1786 | Nebraska |
Profile Details
| NPI number | 1780007799 |
|---|---|
| LBN Legal business name | Berg, Bethany |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2014 |
| Last updated | Apr 28th, 2016 - about 10 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 | 1780007799 | NPPES |
| Nebraska | Other | 096742004 | MEDICARE ID |
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