Bergeron, Stephanie
Bergeron, Stephanie is an individual health care provider with primary practice located at 157 Corley Mill Rd , Lexington SC 29072-7600. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bergeron, Stephanie can be contacted via phone (803) 256-7041.Contact Information
Primary practice address
157 Corley Mill Rd
Lexington SC 29072-7600
Phone: (803) 256-7041
Fax: (803) 079-9462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 4028 | South Carolina |
Profile Details
| NPI number | 1063825974 |
|---|---|
| LBN Legal business name | Bergeron, Stephanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2014 |
| Last updated | Aug 27th, 2015 - about 10 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 | 1063825974 | NPPES |
| South Carolina | Other | 4028 | STATE LICENSING |
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