Bergeron, Richard

Bergeron, Richard is an individual health care provider with primary practice located at 1014 W Tunnel Blvd , Houma LA 70360-4050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Bergeron, Richard can be contacted via phone (985) 851-1717.

Contact Information

Primary practice address
1014 W Tunnel Blvd Houma LA 70360-4050
Phone: (985) 851-1717
Fax: (985) 851-7183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP09162 Louisiana

Profile Details

NPI number 1700323540
LBN Legal business name Bergeron, Richard
Credentials PMHNP, MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2017
Last updated Jun 17th, 2022 - about 4 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 1700323540 NPPES
Louisiana MEDICAID 2436546
Louisiana Other 570122

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