Carmen Berg
Technician, Other in Fargo, ND. Individual provider (NPI-1).
NPI number1356956247
StatusActive
Last updated in NPPESNov 10, 2020
Details
- NPI
- 1356956247
- Entity type
- Individual (NPI-1)
- Name
- Carmen Berg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Nov 10, 2020
- Last updated
- Nov 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2624 9th Ave SFargo, ND 58103-2350
Phone 701-298-4500
Mailing address
2624 9th Ave SFargo, ND 58103-2350
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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