Berg, Roberta L

Berg, Roberta L is an individual health care provider with primary practice located at 144 Stony Point Road Sonoma County Indian Health Project, Santa Rosa CA 95401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berg, Roberta L can be contacted via phone (707) 521-4500.

Contact Information

Primary practice address
144 Stony Point Road Sonoma County Indian Health Project Santa Rosa CA 95401
Phone: (707) 521-4500
Fax: (707) 544-4626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G18770 California

Profile Details

NPI number 1689643884
LBN Legal business name Berg, Roberta L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 10th, 2011 - about 15 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 1689643884 NPPES
California MEDICAID 00G187700

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