Bergden, Jessica Suzanne

Bergden, Jessica Suzanne is an sole proprietor health care provider with primary practice located at 1045 Warwick Ave Suite 102, Warwick RI 02888-3657. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bergden, Jessica Suzanne can be contacted via phone (401) 461-2707.

Contact Information

Primary practice address
1045 Warwick Ave Suite 102 Warwick RI 02888-3657
Phone: (401) 461-2707
Fax: (401) 461-2708
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC00417 Rhode Island

Profile Details

NPI number 1073683140
LBN Legal business name Bergden, Jessica Suzanne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073683140 NPPES
Rhode Island Other 21678-0 BLUE CROSS & BLUE SHIELD
Rhode Island Other 408582 BLUE CROSS & BLUE SHIELD

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