Berg, Shari Alissa
Berg, Shari Alissa is an individual health care provider with primary practice located at 1100 S Fort Harrison Ave , Clearwater FL 33756-3908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Berg, Shari Alissa can be contacted via phone (727) 223-3650.Contact Information
Primary practice address
1100 S Fort Harrison Ave
Clearwater FL 33756-3908
Phone: (727) 223-3650
Fax: (727) 223-5370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS8908 | Florida |
Profile Details
| NPI number | 1538166269 |
|---|---|
| LBN Legal business name | Berg, Shari Alissa |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Aug 22nd, 2022 - about 4 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 | 1538166269 | NPPES |
| Florida | MEDICAID | 267469600 | |
| Florida | Other | P00922489 | |
| Florida | Other | PN929 |
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