Bergen, Michael Adam
Bergen, Michael Adam is an sole proprietor health care provider with primary practice located at 2 Dudley St Ste 200 , Providence RI 02905-3248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bergen, Michael Adam can be contacted via phone (401) 443-4205.Contact Information
Primary practice address
2 Dudley St Ste 200
Providence RI 02905-3248
Phone: (401) 443-4205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD19990 | Rhode Island |
Profile Details
| NPI number | 1134786346 |
|---|---|
| LBN Legal business name | Bergen, Michael Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2019 |
| Last updated | May 28th, 2024 - about 6 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.
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