Jennifer L Berg
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Casper, WY
NPI 1578066692 · NPPES record last updated Mar 15, 2018
Key facts
- NPI
- 1578066692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 31 Poppy St
Casper, WY 82604-3813 - Phone
- (307) 277-6708
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
31 Poppy St
Casper, WY 82604-3813
Mailing address
31 Poppy St
Casper, WY 82604-3813
Phone (307) 277-6708
Other providers in Casper, WY
- Donald Howard Benson
- Joleen Dalise Benson
- Ryan Scott Benson
- Zachary Beran
- Cathy L Berens
- Kelsey J Berg
- Melissa Jo Berg
- Alex J Bergeron
- Frederick Douglas Bergh I
- Peter E Bergquist
All providers in Casper, WY · Student in an Organized Health Care Education/Training Program in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.