Berg, Laci

Berg, Laci is an sole proprietor health care provider with primary practice located at 606 120Th Ave Ne Ste D100 , Bellevue WA 98005. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Berg, Laci can be contacted via phone (425) 688-0223.

Contact Information

Primary practice address

606 120Th Ave Ne Ste D100 Bellevue WA 98005

Phone: (425) 688-0223

Fax: (425) 688-0323

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist	225700000X	MA00017583	Washington

Profile Details

NPI number	1497747083
LBN Legal business name	Berg, Laci
Credentials	LMP
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Aug 18th, 2005
Last updated	Jul 30th, 2018 - about 5 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

State	Type	Number	Issuer
All States	NPI	1497747083	NPPES
Washington	Other	0378345	DEPT OF L&I

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