John Dennis Berg in Oshkosh - Nurse Anesthetist, Certified Registered
John Dennis Berg - NPI 1407838824
John Dennis Berg is a Nurse Anesthetist, Certified Registered in Oshkosh, Wisconsin. John Dennis Berg practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for John Dennis Berg is 1407838824. The last update date is 2007-07-08.
John Dennis Berg's current location address is 4936 Ormond Beach Ct, Oshkosh, Wisconsin. You can contact this provider via phone number 9204100472 and fax number 9202358915. The mailing address for John Dennis Berg is 4936 Ormond Beach Ct, Oshkosh, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | John Dennis Berg |
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Address | 4936 Ormond Beach Ct, Oshkosh, Wisconsin |
Phone Number | 9204100472 |
Fax Number | 9202358915 |
Sole Proprietor | Y |
Credentials | CRNA APNP |
NPI Number Detail
NPI Number | 1407838824 |
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Provider Enumeration Date | 2005-11-20 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 4936 Ormond Beach Ct |
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City | Oshkosh |
State | Wisconsin (WI) |
Post Code | 549049342 |
Phone Number | 9204100472 |
Fax Number | 9202358915 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 67892-030 |
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
67892-030 | WI | NURSING LICENSE | |
383-033 | APNP | ||
31946 | WI | AANA CERTIFICATION | |
43299100 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Dennis Berg?
The John Dennis Berg has been issued the NPI (National Provider Identifier) 1407838824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where John Dennis Berg is physically located?
The John Dennis Berg is physically situated at the following address: 4936 Ormond Beach Ct, Oshkosh, WI, 549049342.
What is the John Dennis Berg's specialty and taxonomy code?
The John Dennis Berg's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did John Dennis Berg receive its 1407838824 assignment from the Centers for Medicare & Medicaid Services?
The John Dennis Berg was assigned its 1407838824 on 2005-11-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to John Dennis Berg last refreshed?
The information related to the John Dennis Berg, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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