Bergner, Jacqueline J
Bergner, Jacqueline J is an individual health care provider with primary practice located at 17000 W North Ave 104W, Brookfield WI 53005-4423. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Bergner, Jacqueline J can be contacted via phone (262) 785-7430.Contact Information
Primary practice address
17000 W North Ave 104W
Brookfield WI 53005-4423
Phone: (262) 785-7430
Fax: (262) 785-7431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5397 | Wisconsin |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5397 | Wisconsin |
Profile Details
| NPI number | 1205260411 |
|---|---|
| LBN Legal business name | Bergner, Jacqueline J |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2013 |
| Last updated | Aug 23rd, 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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