Bergsrud, Deane

Bergsrud, Deane is an individual health care provider with primary practice located at 4660 Kenmore Ave Suite 900, Alexandria VA 22304-1313. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bergsrud, Deane can be contacted via phone (703) 212-0700.

Contact Information

Primary practice address
4660 Kenmore Ave Suite 900 Alexandria VA 22304-1313
Phone: (703) 212-0700
Fax: (703) 212-0705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110000120 Virginia

Profile Details

NPI number 1124234455
LBN Legal business name Bergsrud, Deane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
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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