Bergdoll, Jacqueline Maida

Bergdoll, Jacqueline Maida is an sole proprietor health care provider with primary practice located at 30 Uchee Pines Rd Lot 75 , Seale AL 36875-5726. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Bergdoll, Jacqueline Maida can be contacted via phone (334) 855-4764.

Contact Information

Primary practice address
30 Uchee Pines Rd Lot 75 Seale AL 36875-5726
Phone: (334) 855-4764
Fax: (334) 855-9014
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301077244 Michigan

Profile Details

NPI number 1174749717
LBN Legal business name Bergdoll, Jacqueline Maida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 18 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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