Bergerson, Nicole J
Bergerson, Nicole J is an sole proprietor health care provider with primary practice located at 9239 W Center Rd Suite 225, Omaha NE 68124-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Bergerson, Nicole J can be contacted via phone (402) 505-9550.Contact Information
Primary practice address
9239 W Center Rd Suite 225
Omaha NE 68124-1900
Phone: (402) 505-9550
Fax: (402) 614-3414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 21318 | Nebraska |
Profile Details
| NPI number | 1003880832 |
|---|---|
| LBN Legal business name | Bergerson, Nicole J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Aug 2nd, 2023 - about last year |
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 | 1003880832 | NPPES |
| Nebraska | MEDICAID | 10025118600 |
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