MEDICARE: DR. ERIC JOSEPH BERGER DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC8601L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	752991415	OTHER	PA	COMMERCIAL PAYORS
2	1367834	OTHER	PA	BCBS

General Provider Information

NPI Number	:	1093707622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC JOSEPH BERGER DC

Provider Business Mailing Address
First Line	:	107 E MCMURRAY RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2961
Country	:	US
Telephone Number	:	724-969-1051
Fax Number	:

Provider Business Practice Location Address
First Line	:	107 E MCMURRAY RD
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-2961
Country	:	US
Telephone Number	:	724-969-1051
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	02/05/2015

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