Berger, Mark

Berger, Mark is an individual health care provider with primary practice located at 207 E 12Th St , Emmett ID 83617-3626. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Berger, Mark can be contacted via phone (208) 365-1065.

Contact Information

Primary practice address
207 E 12Th St Emmett ID 83617-3626
Phone: (208) 365-1065
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP1691A Idaho

Profile Details

NPI number 1023471000
LBN Legal business name Berger, Mark
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2016
Last updated Aug 30th, 2023 - about 3 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 1023471000 NPPES
Idaho Other F1215337 AANP

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