Bergman, Chad

Bergman, Chad is an sole proprietor health care provider with primary practice located at 510 W 49Th St , Indianapolis IN 46208-3480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bergman, Chad can be contacted via phone (317) 940-3647.

Contact Information

Primary practice address
510 W 49Th St Indianapolis IN 46208-3480
Phone: (317) 940-3647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207PS0010X 123456 Texas

Profile Details

NPI number 1639146079
LBN Legal business name Bergman, Chad
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2006
Last updated Apr 25th, 2023 - about 3 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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