Individual
AMY BERGHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9900 COLUMBIA AVE, MUNSTER, IN 46321-4008
(219) 924-3300
(219) 934-2658
Mailing address
PO BOX 3329, MUNSTER, IN 46321-0329
(219) 924-3300
(219) 934-2658
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10001814A
IN
363AS0400X
Surgical Physician Assistant
10001814A
IN
Other
Enumeration date
04/22/2015
Last updated
02/13/2025
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