Hannah Lynn Berg
Individual provider Active NPI Athletic Trainer · Durham, NH
NPI 1780184820 · NPPES record last updated Feb 15, 2018
Key facts
- NPI
- 1780184820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 0546 (NH)
- Practice address
- 145 Main St
Durham, NH 03824-3572 - Phone
- (603) 512-2325
- NPI assigned
- Feb 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0546 | NH | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0546 | NH | Yes |
Addresses
Primary practice location
145 Main St
Durham, NH 03824-3572
Mailing address
145 Main St
Durham, NH 03824-3572
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- Mark R Blackwood
- Rebecca Blake
- Erika Louise Blocher
All providers in Durham, NH · Athletic Trainer in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 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.