Berg, Seth M.
Berg, Seth M. is an sole proprietor health care provider with primary practice located at 1856 N Nob Hill Rd #261, Plantation FL 33322-6548. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Berg, Seth M. can be contacted via phone (954) 536-8905.Contact Information
Primary practice address
1856 N Nob Hill Rd #261
Plantation FL 33322-6548
Phone: (954) 536-8905
Fax: (954) 370-4546
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3084 | Florida |
Profile Details
| NPI number | 1467454157 |
|---|---|
| LBN Legal business name | Berg, Seth M. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jan 8th, 2015 - about 11 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 | 1467454157 | NPPES |
| Florida | MEDICAID | 620329900 |
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