Bergeron, Tabetha Emily
Bergeron, Tabetha Emily is an individual health care provider with primary practice located at 4069 Lake Dr Se , Grand Rapids MI 49546-8816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bergeron, Tabetha Emily can be contacted via phone (616) 267-7469.Contact Information
Primary practice address
4069 Lake Dr Se
Grand Rapids MI 49546-8816
Phone: (616) 267-7469
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601006952 | Michigan |
Profile Details
| NPI number | 1003228925 |
|---|---|
| LBN Legal business name | Bergeron, Tabetha Emily |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2014 |
| Last updated | Jun 12th, 2024 - about 2 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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