Bergen, Nicholas Alvin
Bergen, Nicholas Alvin is an sole proprietor health care provider with primary practice located at 15412 E Sprague Ave Ste 17 , Spokane Valley WA 99037-8841. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Bergen, Nicholas Alvin can be contacted via phone (509) 443-3117.Contact Information
Primary practice address
15412 E Sprague Ave Ste 17
Spokane Valley WA 99037-8841
Phone: (509) 443-3117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA00024715 | Washington |
Profile Details
| NPI number | 1871779991 |
|---|---|
| LBN Legal business name | Bergen, Nicholas Alvin |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2008 |
| Last updated | Dec 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871779991 | NPPES |
| Washington | Other | MA00024715 | STATE LICENSE |
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