Berg, Sara M
Berg, Sara M is an sole proprietor health care provider with primary practice located at 768 E Mariah Hill Rd , Ferdinand IN 47532-9737. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Berg, Sara M can be contacted via phone (217) 497-4958.Contact Information
Primary practice address
768 E Mariah Hill Rd
Ferdinand IN 47532-9737
Phone: (217) 497-4958
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.009783 | Illinois |
Profile Details
| NPI number | 1619124336 |
|---|---|
| LBN Legal business name | Berg, Sara M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2008 |
| Last updated | Jan 5th, 2017 - about 9 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 | 1619124336 | NPPES |
| Illinois | MEDICAID | 37068625001 |
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