Berg, Colleen Marie
Berg, Colleen Marie is an individual health care provider with primary practice located at 100 Rosebrook Way Southcoast Physician Services, Inc. 3Rd Floor, Wareham MA 02571-2097. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Berg, Colleen Marie can be contacted via phone (508) 273-4900.Contact Information
Primary practice address
100 Rosebrook Way Southcoast Physician Services, Inc. 3Rd Floor
Wareham MA 02571-2097
Phone: (508) 273-4900
Fax: (508) 273-4901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 142625 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 142625 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN142625 | Massachusetts |
Profile Details
| NPI number | 1477628527 |
|---|---|
| LBN Legal business name | Berg, Colleen Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jun 16th, 2011 - about 15 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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