Bergan, Amy Marie

Bergan, Amy Marie is an individual health care provider with primary practice located at 4202 E Fowler Ave Stop Ath100 , Tampa FL 33620-8455. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bergan, Amy Marie can be contacted via phone (406) 438-6395.

Contact Information

Primary practice address
4202 E Fowler Ave Stop Ath100 Tampa FL 33620-8455
Phone: (406) 438-6395
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AL3942 Florida

Profile Details

NPI number 1023659208
LBN Legal business name Bergan, Amy Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2019
Last updated Sep 30th, 2019 - about 5 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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