Goforth, Linda Bergin

Goforth, Linda Bergin is an individual health care provider with primary practice located at 2001 Manatee Ave E Suite 103, Bradenton FL 34208-1620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goforth, Linda Bergin can be contacted via phone (941) 803-8395.

Contact Information

Primary practice address
2001 Manatee Ave E Suite 103 Bradenton FL 34208-1620
Phone: (941) 803-8395
Fax: (941) 803-8158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102514 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106347 Florida

Profile Details

NPI number 1841387735
LBN Legal business name Goforth, Linda Bergin
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Apr 4th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841387735 NPPES
North Carolina Other MB0350710 CONTROLLED SUBSTANCE REGI

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