Bergen, Aileen Elizabeth
Bergen, Aileen Elizabeth is an individual health care provider with primary practice located at 1800 Camelot Dr Ste 300 , Virginia Beach VA 23454-2440. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bergen, Aileen Elizabeth can be contacted via phone (757) 321-3300.Contact Information
Primary practice address
1800 Camelot Dr Ste 300
Virginia Beach VA 23454-2440
Phone: (757) 321-3300
Fax: (757) 321-3330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110003549 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 013890 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2508 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0110003549 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2523 | Tennessee |
Profile Details
| NPI number | 1003130402 |
|---|---|
| LBN Legal business name | Bergen, Aileen Elizabeth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2010 |
| Last updated | Jan 19th, 2024 - about 11 months 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 | 1003130402 | NPPES |
| Virginia | MEDICAID | 1003130402 |
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