Berg, Robert
Berg, Robert is an sole proprietor health care provider with primary practice located at 18711 Brewster Rd , Chagrin Falls OH 44023-4901. He recently has 4 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is his primary health care specialty. Berg, Robert can be contacted via phone (216) 408-3422.Contact Information
Primary practice address
18711 Brewster Rd
Chagrin Falls OH 44023-4901
Phone: (216) 408-3422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Transportation Services / Non-emergency Medical Transport (VAN) | 343900000X | ||
| Transportation Services / Private Vehicle | 347C00000X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X | Ohio |
Profile Details
| NPI number | 1164018867 |
|---|---|
| LBN Legal business name | Berg, Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 16th, 2020 |
| Last updated | Dec 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164018867 | NPPES |
| Ohio | MEDICAID | 2801338 |
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