Bergen, Barry J

Bergen, Barry J is an sole proprietor health care provider with primary practice located at 701 Lewiston St , Cottonwood ID 83522-9750. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bergen, Barry J can be contacted via phone (208) 962-3267.

Contact Information

Primary practice address
701 Lewiston St Cottonwood ID 83522-9750
Phone: (208) 962-3267
Fax: (208) 962-2313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M4883 Idaho

Profile Details

NPI number 1538165592
LBN Legal business name Bergen, Barry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2005
Last updated Jul 9th, 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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