Bergese, Jorge J

Bergese, Jorge J is an sole proprietor health care provider with primary practice located at 370 Cline Ave , Mansfield OH 44907-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bergese, Jorge J can be contacted via phone (419) 756-1125.

Contact Information

Primary practice address
370 Cline Ave Mansfield OH 44907-1057
Fax: (419) 756-1825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35.038255 Ohio

Profile Details

NPI number 1053417550
LBN Legal business name Bergese, Jorge J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Jul 8th, 2007 - about 17 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 1053417550 NPPES
Ohio MEDICAID 0332376

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