Bergen, Michael K

Bergen, Michael K is an individual health care provider with primary practice located at 600 S 5Th St , Montrose CO 81401-5711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bergen, Michael K can be contacted via phone (970) 497-8001.

Contact Information

Primary practice address
600 S 5Th St Montrose CO 81401-5711
Fax: (970) 240-7793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 38501 Colorado

Profile Details

NPI number 1851385330
LBN Legal business name Bergen, Michael K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 8th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851385330 NPPES
Colorado MEDICAID 77178769

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