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
Phone: (419) 756-1125
Fax: (419) 756-1825
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053417550 | NPPES |
| Ohio | MEDICAID | 0332376 |
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