Bergles, James Allen
Bergles, James Allen is an individual health care provider with primary practice located at 1560 Bonforte Blvd , Pueblo CO 81001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bergles, James Allen can be contacted via phone (719) 544-5340.Contact Information
Primary practice address
1560 Bonforte Blvd
Pueblo CO 81001
Phone: (719) 544-5340
Fax: (719) 583-2206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 00625 | Colorado |
Profile Details
| NPI number | 1013950245 |
|---|---|
| LBN Legal business name | Bergles, James Allen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1013950245 | NPPES |
| Colorado | MEDICAID | 02006252 |
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