Bergdolt, Charles Kenneth

Bergdolt, Charles Kenneth is an individual health care provider with primary practice located at 4755 Pasture Rd , Fallon NV 89406-3491. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Bergdolt, Charles Kenneth can be contacted via phone (904) 542-7300.

Contact Information

Primary practice address
4755 Pasture Rd Fallon NV 89406-3491
Phone: (904) 542-7300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8288488 Alabama
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X O-1734 Idaho

Profile Details

NPI number 1194392241
LBN Legal business name Bergdolt, Charles Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2021
Last updated Jul 10th, 2023 - about 2 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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