Bergen, Leona M
Bergen, Leona M is an sole proprietor health care provider with primary practice located at 3100 Oak Grove Rd , Poplar Bluff MO 63901-1573. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Bergen, Leona M can be contacted via phone (573) 776-2000.Contact Information
Primary practice address
3100 Oak Grove Rd
Poplar Bluff MO 63901-1573
Phone: (573) 776-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / General Acute Care Hospital | 282N00000X |
Profile Details
| NPI number | 1831636281 |
|---|---|
| LBN Legal business name | Bergen, Leona M |
| Credentials | ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2017 |
| Last updated | Nov 11th, 2021 - about 4 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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