Berg, Richard A.

Berg, Richard A. is an sole proprietor health care provider with primary practice located at 22201 Moross Rd Suite 155, Detroit MI 48236-2169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Berg, Richard A. can be contacted via phone (586) 247-4300.

Contact Information

Primary practice address
22201 Moross Rd Suite 155 Detroit MI 48236-2169
Phone: (586) 247-4300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301041478 Michigan

Profile Details

NPI number 1801883558
LBN Legal business name Berg, Richard A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2005
Last updated Feb 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801883558 NPPES
Michigan MEDICAID 1846920
Michigan Other 020H21281

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