Bergeron, Michael A

Bergeron, Michael A is an individual health care provider with primary practice located at 2770 3Rd Ave # S350 , Lake Charles LA 70601-8994. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bergeron, Michael A can be contacted via phone (337) 494-6800.

Contact Information

Primary practice address
2770 3Rd Ave # S350 Lake Charles LA 70601-8994
Phone: (337) 494-6800
Fax: (337) 494-6811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD25200 Louisiana

Profile Details

NPI number 1265558308
LBN Legal business name Bergeron, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jul 24th, 2017 - about 7 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 1265558308 NPPES
Louisiana Other 830008369 RAILROAD MEDICARE
Louisiana MEDICAID 1490334 RAILROAD MEDICARE

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