Bergh, Craig

Bergh, Craig is an individual health care provider with primary practice located at 717 S State St Ste 100 , Fairmont MN 56031-4470. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bergh, Craig can be contacted via phone (507) 235-3939.

Contact Information

Primary practice address
717 S State St Ste 100 Fairmont MN 56031-4470
Phone: (507) 235-3939
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R142187-9 Minnesota

Profile Details

NPI number 1780649715
LBN Legal business name Bergh, Craig
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 13th, 2017 - about 8 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 1780649715 NPPES
Minnesota MEDICAID 803519900
Minnesota Other 00F96BE

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