Bergley, Paul Michael

Bergley, Paul Michael is an sole proprietor health care provider with primary practice located at 711 6Th Ave Ne Suite #1, Isanti MN 55040. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Bergley, Paul Michael can be contacted via phone (763) 444-5567.

Contact Information

Primary practice address
711 6Th Ave Ne Suite #1 Isanti MN 55040
Phone: (763) 444-5567
Fax: (763) 444-4991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 2421 Minnesota

Profile Details

NPI number 1568673101
LBN Legal business name Bergley, Paul Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Nov 8th, 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 1568673101 NPPES
Minnesota MEDICAID 990528600

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