Bergeron, Karen Lea

Bergeron, Karen Lea is an individual health care provider with primary practice located at 535 Faunce Corner Rd , North Dartmouth MA 02747-1242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bergeron, Karen Lea can be contacted via phone (508) 996-3991.

Contact Information

Primary practice address
535 Faunce Corner Rd North Dartmouth MA 02747-1242
Phone: (508) 996-3991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X AP2385 Massachusetts

Profile Details

NPI number 1639359144
LBN Legal business name Bergeron, Karen Lea
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2007
Last updated Feb 21st, 2018 - about 6 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 1639359144 NPPES
Massachusetts Other 04-3436165 HAWTHORN MEDICAL TAX ID

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