Jeffrey Paul Berger
Internist Internist - Addiction Medicine
17940 Farmington Rd Suite 140
Livonia
, Michigan 48152-3157
Jeffrey Paul Berger
Internist Internist - Addiction Medicine
17940 Farmington Rd Suite 140
Livonia
, Michigan 48152-3157
(734) 338-0601
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About
Features
Specialties
- Internist
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Jeffrey Paul Berger
- 17940 Farmington Rd Suite 140
- Livonia, MI
- Zip : 48152-3157
- Fax : (734) 338-0601
- Phone : (734) 338-0600
Second Address
- Jeffrey Paul Berger
- 17940 Farmington Rd Suite 140
- Livonia, MI
- Zip : 48152-3157
- Fax : (734) 338-0601
- Phone : (734) 338-0600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 4301041195 | MI |
| N | 111NI0900X | Internist | 4301041195 | MI |
| Y | 207RA0401X | Internist - Addiction Medicine | 4301041195 | MI |
National Provider Identifier
| NPI | 1962409292 |
|---|---|
| Provider Name | Jeffrey Paul Berger |
| First Address | Livonia, MI 48152-3157 |
| Second Address | Livonia, MI 48152-3157 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/07/2005 |
| Last Update Date | 12/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 080H215880 | BCBS & BCN (01) | MI |
| 136737 | CARE CHOICES (01) | MI |
| 147145 | GREAT LAKES HEALTH PLAN (01) | MI |
| 16126 | M'CARE (01) | MI |
| 2135729 | FIRST HEALTH (01) | MI |
| 4036582 | AETNA (01) | MI |
| 4520279 | (05) | MI |
| 4561440 | (05) | MI |
| 665-2 | TOTAL HEALTH CARE (01) | MI |
| D92598 | (02) | MI |
| P00211584 | RAILROAD MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.