Bergen, Randall P.

Bergen, Randall P. is an individual health care provider with primary practice located at 505 5Th St Suite 714, Sioux City IA 51101-1500. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Bergen, Randall P. can be contacted via phone (712) 255-3526.

Contact Information

Primary practice address
505 5Th St Suite 714 Sioux City IA 51101-1500
Phone: (712) 255-3526
Fax: (712) 255-0298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 00319 Iowa

Profile Details

NPI number 1861466583
LBN Legal business name Bergen, Randall P.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated May 14th, 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.

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