Berg, Bethany Melissa

Berg, Bethany Melissa is an individual health care provider with primary practice located at 147 W Rockwell St , Jefferson WI 53549-2048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berg, Bethany Melissa can be contacted via phone (920) 674-6255.

Contact Information

Primary practice address
147 W Rockwell St Jefferson WI 53549-2048
Phone: (920) 674-6255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11565-33 Wisconsin

Profile Details

NPI number 1548853500
LBN Legal business name Berg, Bethany Melissa
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 13th, 2023 - about 3 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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