Berg, Geoffrey Herbst

Berg, Geoffrey Herbst is an individual health care provider with primary practice located at 160 Wayland Ave , Providence RI 02906-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berg, Geoffrey Herbst can be contacted via phone (401) 521-1221.

Contact Information

Primary practice address
160 Wayland Ave Providence RI 02906-4304
Phone: (401) 521-1221
Fax: (401) 454-4189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 05035 Rhode Island

Profile Details

NPI number 1902804313
LBN Legal business name Berg, Geoffrey Herbst
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2005
Last updated Jun 6th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902804313 NPPES
Rhode Island Other 405576 BLUE CHIP
Rhode Island Other 455099 BLUE CHIP
Rhode Island MEDICAID 7001787 BLUE CHIP
Rhode Island Other 2919 BLUE CHIP
Rhode Island Other 04-02664 BLUE CHIP

Popular Providers