Bergie-Moore, Phyllis
Bergie-Moore, Phyllis is an individual health care provider with primary practice located at 144 Stony Point Rd , Santa Rosa CA 95401-4122. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Bergie-Moore, Phyllis can be contacted via phone (707) 521-4649.Contact Information
Primary practice address
144 Stony Point Rd
Santa Rosa CA 95401-4122
Phone: (707) 521-4649
Fax: (707) 521-4628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X |
Profile Details
| NPI number | 1164669792 |
|---|---|
| LBN Legal business name | Bergie-Moore, Phyllis |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2009 |
| Last updated | Apr 29th, 2010 - about 16 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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