Bergman, Ronny

Bergman, Ronny is an individual health care provider with primary practice located at 405 Main St #4, Port Washington NY 11050-3135. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bergman, Ronny can be contacted via phone (516) 944-4300.

Contact Information

Primary practice address
405 Main St #4 Port Washington NY 11050-3135
Fax: (516) 944-4301
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X010090 New York

Profile Details

NPI number 1316031362
LBN Legal business name Bergman, Ronny
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316031362 NPPES
New York Other X04R71 EMPIRE BLUE CROSS BLUE SH
New York Other U86890 EMPIRE BLUE CROSS BLUE SH
New York Other P2537073 EMPIRE BLUE CROSS BLUE SH

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