Bergendahl, Mathew
Bergendahl, Mathew is an sole proprietor health care provider with primary practice located at 5419 Courtney St Se , Olympia WA 98513-4613. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Bergendahl, Mathew can be contacted via phone (360) 451-0611.Contact Information
Primary practice address
5419 Courtney St Se
Olympia WA 98513-4613
Phone: (360) 451-0611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC20177 | South Dakota |
Profile Details
| NPI number | 1043946817 |
|---|---|
| LBN Legal business name | Bergendahl, Mathew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2022 |
| Last updated | Jul 25th, 2022 - 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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