Bergsman, Kenneth
Bergsman, Kenneth is an individual health care provider with primary practice located at 27207 Lahser Rd Suite 200 B, Southfield MI 48034-2168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bergsman, Kenneth can be contacted via phone (248) 358-4892.Contact Information
Primary practice address
27207 Lahser Rd Suite 200 B
Southfield MI 48034-2168
Phone: (248) 358-4892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301028293 | Michigan |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301028293 | Michigan |
Profile Details
| NPI number | 1164464913 |
|---|---|
| LBN Legal business name | Bergsman, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Aug 18th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164464913 | NPPES |
| Michigan | MEDICAID | 4482104 |
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