Berg, Carolyn M
Berg, Carolyn M is an individual health care provider with primary practice located at 8110 S Yale Ave , Tulsa OK 74137-2291. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is her primary health care specialty. Berg, Carolyn M can be contacted via phone (918) 583-4400.Contact Information
Primary practice address
8110 S Yale Ave
Tulsa OK 74137-2291
Phone: (918) 583-4400
Fax: (918) 583-7908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N6172 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 31095 | Oklahoma |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | N6172 | Texas |
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | 31095 | Oklahoma |
Profile Details
| NPI number | 1649589227 |
|---|---|
| LBN Legal business name | Berg, Carolyn M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2010 |
| Last updated | Feb 1st, 2024 - about 2 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 | 1649589227 | NPPES |
| Oklahoma | MEDICAID | 200573930A |
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