Jack M. Bergstein M.D. Llc

LBN: Jack M. Bergstein M.D. Llc
Jack M. Bergstein M.D. Llc is an health care organization with primary practice located at 511 S Main St , Sheffield PA 16347-2013. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Jack M. Bergstein M.D. Llc can be contacted via phone (814) 968-4427, or through Bergstein, Jack M. via phone (814) 968-4427.

Contact Information

Primary practice address
511 S Main St Sheffield PA 16347-2013
Phone: (814) 968-4427
Fax: (814) 968-9112
Website:
Map and Directions
Authorized official contact:
Name: Bergstein, Jack M. Doctor of Medicine (MD)
Phone: (814) 968-4427

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD422547 Pennsylvania

Profile Details

NPI number 1982645768
LBN Legal business name Jack M. Bergstein M.D. Llc
DBA Doing business as
Authorized official Bergstein, Jack M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982645768 NPPES
Pennsylvania Other 1831016 BLUE CROSS BLUE SHIELD

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