Doctor Name: | DR. CHIQUITA LASHANE BERG |
NPI Number: | 1184612814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 4301077885 |
Business Practice Address: | 2200 Springport Rd Jackson, MI - 492021432 |
Business Phone Number: | 5177879356 |
Business Fax Number: | 5177809286 |
Mailing Address: | 2298 Springport Rd, Suite B JACKSON |
State: | MI |
Postal Code: | 492021475 |
Phone Number: | 5177843991 |
Fax Number: | 5178171681 |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 4301077885 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |