Bergdoll, Jacqueline Maida
Bergdoll, Jacqueline Maida is an sole proprietor health care provider with primary practice located at 30 Uchee Pines Rd Lot 75 , Seale AL 36875-5726. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bergdoll, Jacqueline Maida can be contacted via phone (334) 855-4764.Contact Information
Primary practice address
30 Uchee Pines Rd Lot 75
Seale AL 36875-5726
Phone: (334) 855-4764
Fax: (334) 855-9014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 4301077244 | Michigan |
Profile Details
| NPI number | 1174749717 |
|---|---|
| LBN Legal business name | Bergdoll, Jacqueline Maida |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| 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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