Bergeron, Mary

Bergeron, Mary is an sole proprietor health care provider with primary practice located at 1514 Jefferson Hwy , Jefferson LA 70121-2429. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bergeron, Mary can be contacted via phone (866) 624-7637.

Contact Information

Primary practice address
1514 Jefferson Hwy Jefferson LA 70121-2429
Phone: (866) 624-7637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 328650 Louisiana

Profile Details

NPI number 1790453652
LBN Legal business name Bergeron, Mary
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2021
Last updated Nov 15th, 2021 - about 4 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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