Berg, Joel Howard
Berg, Joel Howard is an individual health care provider with primary practice located at 1959 Ne Pacific St B242, Seattle WA 98195-7136. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Berg, Joel Howard can be contacted via phone (206) 543-4885.Contact Information
Primary practice address
1959 Ne Pacific St B242
Seattle WA 98195-7136
Phone: (206) 543-4885
Fax: (206) 616-7470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DE00008754 | Washington |
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS029281R | Pennsylvania |
Profile Details
| NPI number | 1063574598 |
|---|---|
| LBN Legal business name | Berg, Joel Howard |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1063574598 | NPPES |
| Washington | MEDICAID | 5041066 |
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