Bergman, Stacy Heather

Bergman, Stacy Heather is an individual health care provider with primary practice located at 1601 Academy Rd , Ponca City OK 74604-4409. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Bergman, Stacy Heather can be contacted via phone (580) 340-3728.

Contact Information

Primary practice address
1601 Academy Rd Ponca City OK 74604-4409
Phone: (580) 340-3728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OA780 Oklahoma

Profile Details

NPI number 1912538000
LBN Legal business name Bergman, Stacy Heather
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - about 6 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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