Bergeson, Dale

Bergeson, Dale is an individual health care provider with primary practice located at 1222 E Woodland Ave , Barron WI 54812-1765. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bergeson, Dale can be contacted via phone (715) 537-3166.

Contact Information

Primary practice address
1222 E Woodland Ave Barron WI 54812-1765
Phone: (715) 537-3166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 87 Wisconsin

Profile Details

NPI number 1730288150
LBN Legal business name Bergeson, Dale
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 16th, 2013 - about 13 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 1730288150 NPPES
Wisconsin MEDICAID 1730288150

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