Bergeron, Wilton Lee
Bergeron, Wilton Lee is an sole proprietor health care provider with primary practice located at 1505 Westgate Rd , Lafayette LA 70506-2742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Bergeron, Wilton Lee can be contacted via phone (337) 981-2588.Contact Information
Primary practice address
1505 Westgate Rd
Lafayette LA 70506-2742
Phone: (337) 981-2588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 8170 | Louisiana |
Profile Details
| NPI number | 1457680332 |
|---|---|
| LBN Legal business name | Bergeron, Wilton Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2009 |
| Last updated | Dec 23rd, 2009 - about 16 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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