Bergen, Audrey R
Bergen, Audrey R is an sole proprietor health care provider with primary practice located at 5006 Copper Ne , Albuquerque NM 87108. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bergen, Audrey R can be contacted via phone (505) 268-7988.Contact Information
Primary practice address
5006 Copper Ne
Albuquerque NM 87108
Phone: (505) 268-7988
Fax: (505) 268-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 1662 | New Mexico |
Profile Details
| NPI number | 1285604330 |
|---|---|
| LBN Legal business name | Bergen, Audrey R |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Sep 14th, 2011 - about 13 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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