Bergeron, Dawn Elizabeth
Bergeron, Dawn Elizabeth is an sole proprietor health care provider with primary practice located at 2901 Lone Oak Rd , Bloomington IL 61705-7802. She recently has only one registered license in Nursing Service Related Providers / Religious Nonmedical Practitioner, which is considered as her primary health care specialty. Bergeron, Dawn Elizabeth can be contacted via phone (309) 846-0899.Contact Information
Primary practice address
2901 Lone Oak Rd
Bloomington IL 61705-7802
Phone: (309) 846-0899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Religious Nonmedical Practitioner | 374K00000X | 171400000X | Illinois |
Profile Details
| NPI number | 1851091417 |
|---|---|
| LBN Legal business name | Bergeron, Dawn Elizabeth |
| Credentials | FMCHC AND IHP2 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2023 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851091417 | NPPES |
| Other | 171400000X | GENERAL |
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