William F Berg, D.C.
Individual provider Active NPI Chiropractor · Matawan, NJ
NPI 1609996115 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609996115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- Practice address
- 1077 State Route 34 Ste B
Matawan, NJ 07747-2151 - Phone
- (732) 290-2288
- Fax
- (732) 290-2660
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC0041900 | NJ | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | NJ | Yes |
Addresses
Primary practice location
1077 State Route 34 Ste B
Matawan, NJ 07747-2151
Mailing address
1077 State Route 34 Ste B
Matawan, NJ 07747-2151
Phone (732) 290-2288
Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.