Berg, Phillip William
Berg, Phillip William is an individual health care provider with primary practice located at 11468 Marketplace Dr N Suite 500, Champlin MN 55316-3872. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Berg, Phillip William can be contacted via phone (763) 421-2710.Contact Information
Primary practice address
11468 Marketplace Dr N Suite 500
Champlin MN 55316-3872
Phone: (763) 421-2710
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5047 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 815 | North Dakota |
Profile Details
| NPI number | 1831374446 |
|---|---|
| LBN Legal business name | Berg, Phillip William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2008 |
| Last updated | Dec 15th, 2016 - about 10 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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