Bergan, Michael John
Bergan, Michael John is an individual health care provider with primary practice located at 4400 W 69Th St Ste. 1500, Sioux Falls SD 57108-8170. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Bergan, Michael John can be contacted via phone (605) 322-5700.Contact Information
Primary practice address
4400 W 69Th St Ste. 1500
Sioux Falls SD 57108-8170
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 8908 | South Dakota |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1487888012 |
|---|---|
| LBN Legal business name | Bergan, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2009 |
| Last updated | Jan 15th, 2014 - about 10 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 | 1487888012 | NPPES |
| South Dakota | MEDICAID | 7102090 |
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