Retberg, David A

Retberg, David A is an individual health care provider with primary practice located at 7316 Spout Springs Rd Ste 203 , Flowery Branch GA 30542-5620. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Retberg, David A can be contacted via phone (678) 205-8387.

Contact Information

Primary practice address
7316 Spout Springs Rd Ste 203 Flowery Branch GA 30542-5620
Phone: (678) 205-8387
Fax: (678) 808-1039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2009-0013 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2009-0013 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9308 Georgia

Profile Details

NPI number 1700065422
LBN Legal business name Retberg, David A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2007
Last updated Aug 30th, 2019 - about 7 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 1700065422 NPPES
New Mexico Other PA2009-0013 NM LICENSE

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