Bergman, Kenneth Robert
Bergman, Kenneth Robert is an sole proprietor health care provider with primary practice located at 13890 Braddock Rd Ste 206, Centreville VA 20121-2437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Bergman, Kenneth Robert can be contacted via phone (703) 263-2333.Contact Information
Primary practice address
13890 Braddock Rd Ste 206
Centreville VA 20121-2437
Phone: (703) 263-2333
Fax: (703) 263-0361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 0101025702 | Virginia |
Profile Details
| NPI number | 1013912252 |
|---|---|
| LBN Legal business name | Bergman, Kenneth Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| 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.
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