Berg, Luciana Elisa

Berg, Luciana Elisa is an individual health care provider with primary practice located at 6435 E Broad St , Columbus OH 43213-1507. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Berg, Luciana Elisa can be contacted via phone (614) 355-8100.

Contact Information

Primary practice address
6435 E Broad St Columbus OH 43213-1507
Phone: (614) 355-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35083932 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35083932 Ohio

Profile Details

NPI number 1144214396
LBN Legal business name Berg, Luciana Elisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Feb 14th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144214396 NPPES
Ohio MEDICAID 2478831

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