Berg, Russell R.

Berg, Russell R. is an individual health care provider with primary practice located at 13835 N Tatum Blvd Suite 3, Phoenix AZ 85032-5581. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Sports Physician. Chiropractic Providers / Chiropractor is his primary health care specialty. Berg, Russell R. can be contacted via phone (602) 953-1900.

Contact Information

Primary practice address
13835 N Tatum Blvd Suite 3 Phoenix AZ 85032-5581
Phone: (602) 953-1900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1080 Arizona
Chiropractic Providers / Sports Physician 111NS0005X 1080 Arizona

Profile Details

NPI number 1629014105
LBN Legal business name Berg, Russell R.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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