Berg, William J
Berg, William J is an individual health care provider with primary practice located at 8040 Broadway St , Indianapolis IN 46240-2503. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Berg, William J can be contacted via phone (317) 251-5217.Contact Information
Primary practice address
8040 Broadway St
Indianapolis IN 46240-2503
Phone: (317) 251-5217
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01038228A | Indiana |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 01038228A | Indiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 01038228A | Indiana |
Profile Details
| NPI number | 1225009749 |
|---|---|
| LBN Legal business name | Berg, William J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jul 16th, 2024 - about 2 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 | 1225009749 | NPPES |
| Indiana | MEDICAID | 100324080A |
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