Berg, Samuel William

Berg, Samuel William is an individual health care provider with primary practice located at 3130 Victoria Blvd , Hampton VA 23661-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Berg, Samuel William can be contacted via phone (757) 315-3763.

Contact Information

Primary practice address
3130 Victoria Blvd Hampton VA 23661-1544
Phone: (757) 315-3763
Fax: (757) 727-1185
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101054512 Virginia

Profile Details

NPI number 1659349017
LBN Legal business name Berg, Samuel William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Sep 19th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659349017 NPPES
Virginia MEDICAID 004975014
Virginia Other 089265
Virginia Other 47211
Virginia Other 4975014

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