Bergsten, Mark D
Bergsten, Mark D is an individual health care provider with primary practice located at 721 Fairfax Ave 3Rd Floor, Norfolk VA 23507-2007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bergsten, Mark D can be contacted via phone (757) 446-5915.Contact Information
Primary practice address
721 Fairfax Ave 3Rd Floor
Norfolk VA 23507-2007
Phone: (757) 446-5915
Fax: (757) 446-5089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 0102202299 | Virginia |
Profile Details
| NPI number | 1962663054 |
|---|---|
| LBN Legal business name | Bergsten, Mark D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2008 |
| Last updated | Aug 3rd, 2015 - about 11 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 | 1962663054 | NPPES |
| Virginia | Other | 10038954 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 360653 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 10038956 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 10279 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | -017 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 9111220 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | MEDICAID | 1962663054 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 2190396 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | MEDICAID | 5910279 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | 8786189 | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
| Virginia | Other | PAR | SENTARA/OPTIMA PHYSICAL MEDICINE |
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