Burg, Carol G

Burg, Carol G is an individual health care provider with primary practice located at 6701 Rockside Rd Suite 330, Independence OH 44131-2358. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Burg, Carol G can be contacted via phone (216) 524-4009.

Contact Information

Primary practice address
6701 Rockside Rd Suite 330 Independence OH 44131-2358
Phone: (216) 524-4009
Fax: (216) 524-7933
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35045077 Ohio

Profile Details

NPI number 1992761068
LBN Legal business name Burg, Carol G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Nov 9th, 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 1992761068 NPPES
Ohio Other 000000192649 ANTHEM
Ohio Other P00131656 ANTHEM
Ohio MEDICAID 0527746 ANTHEM
Ohio Other T45077 ANTHEM
Ohio Other 101091 ANTHEM

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