Berger, Mary Kay

Berger, Mary Kay is an individual health care provider with primary practice located at 24 Clay St , Martinsville VA 24112-2810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Berger, Mary Kay can be contacted via phone (276) 632-7128.

Contact Information

Primary practice address
24 Clay St Martinsville VA 24112-2810
Phone: (276) 632-7128
Fax: (276) 632-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024164726 Virginia

Profile Details

NPI number 1235117557
LBN Legal business name Berger, Mary Kay
Credentials LNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 7th, 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 1235117557 NPPES
Virginia MEDICAID 004945221

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