Berg, Keith

Berg, Keith is an individual health care provider with primary practice located at 1908 Kruchten Ct S , Sartell MN 56377-4645. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Berg, Keith can be contacted via phone (320) 640-7660.

Contact Information

Primary practice address
1908 Kruchten Ct S Sartell MN 56377-4645
Phone: (320) 640-7660
Fax: (320) 774-1104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1851080139
LBN Legal business name Berg, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2023
Last updated May 3rd, 2023 - 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.

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