Berg, Gerald C
Berg, Gerald C is an sole proprietor health care provider with primary practice located at 18275 N 59Th Ave Bldg A Suite 106, Glendale AZ 85308-1260. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berg, Gerald C can be contacted via phone (602) 375-2225.Contact Information
Primary practice address
18275 N 59Th Ave Bldg A Suite 106
Glendale AZ 85308-1260
Phone: (602) 375-2225
Fax: (602) 942-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 7831 AND 4520 PHYSIO | Arizona |
Profile Details
| NPI number | 1962576512 |
|---|---|
| LBN Legal business name | Berg, Gerald C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jan 2nd, 2008 - about 17 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 | 1962576512 | NPPES |
| Arizona | Other | Z100607 | MEDICARE GROUP |
| Arizona | Other | 1962576512 | MEDICARE GROUP |
| Arizona | Other | 1477686541 | MEDICARE GROUP |
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