Provider Demographics
NPI:1225066921
Name:KARBERG, BETH A (RM CPM)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:A
Last Name:KARBERG
Suffix:
Gender:F
Credentials:RM CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1881 SHERWOOD DR SW
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-5657
Mailing Address - Country:US
Mailing Address - Phone:970-498-9460
Mailing Address - Fax:608-999-7306
Practice Address - Street 1:1881 SHERWOOD DR SW
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:WI
Practice Address - Zip Code:53511-5657
Practice Address - Country:US
Practice Address - Phone:970-498-9460
Practice Address - Fax:608-999-7306
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2023-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI365-49176B00000X
COMWR0047176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife