Berger, Nicole R

Berger, Nicole R is an individual health care provider with primary practice located at 600 N Holtzclaw Ave Ste 100, Chattanooga TN 37404-1242. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Berger, Nicole R can be contacted via phone (423) 622-0500.

Contact Information

Primary practice address
600 N Holtzclaw Ave Ste 100 Chattanooga TN 37404-1242
Phone: (423) 622-0500
Fax: (423) 622-0564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT05322 Tennessee

Profile Details

NPI number 1417945205
LBN Legal business name Berger, Nicole R
Credentials MSPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 2007 - about 19 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 1417945205 NPPES
Tennessee MEDICAID 3659241

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