Bergum, James Douglas

Bergum, James Douglas is an sole proprietor health care provider with primary practice located at 1555 Soquel Dr , Santa Cruz CA 95065-1794. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Bergum, James Douglas can be contacted via phone (855) 489-4580.

Contact Information

Primary practice address
1555 Soquel Dr Santa Cruz CA 95065-1794
Phone: (855) 489-4580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X 049011

Profile Details

NPI number 1073148235
LBN Legal business name Bergum, James Douglas
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2020
Last updated Mar 9th, 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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