Bergerson, Joseph Thomas
Bergerson, Joseph Thomas is an sole proprietor health care provider with primary practice located at 269 S Candy Ln , Cottonwood AZ 86326. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Bergerson, Joseph Thomas can be contacted via phone (928) 639-5588.Contact Information
Primary practice address
269 S Candy Ln
Cottonwood AZ 86326
Phone: (928) 639-5588
Fax: (928) 639-5589
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 56349 | Arizona |
Profile Details
| NPI number | 1558658369 |
|---|---|
| LBN Legal business name | Bergerson, Joseph Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Oct 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558658369 | NPPES |
| Pennsylvania | MEDICAID | 0015654460023 |
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