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
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
Provider Enumeration Date 2005-11-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4936 Ormond Beach Ct
City Oshkosh
State Wisconsin (WI)
Post Code 549049342
Phone Number 9204100472
Fax Number 9202358915

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
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 --

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FAQs about John Dennis Berg

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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