Bergeson Barkdull, Jill

Bergeson Barkdull, Jill is an sole proprietor health care provider with primary practice located at 830 N 2000 W , Pleasant Grove UT 84062-4047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bergeson Barkdull, Jill can be contacted via phone (801) 756-1705.

Contact Information

Primary practice address
830 N 2000 W Pleasant Grove UT 84062-4047
Phone: (801) 756-1705
Fax: (801) 443-1164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57647571205 Utah

Profile Details

NPI number 1043466899
LBN Legal business name Bergeson Barkdull, Jill
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2008
Last updated May 10th, 2013 - about 12 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 1043466899 NPPES
Utah Other 171564 PEHP
Utah Other 870293878 PEHP
Utah Other 107107195101 PEHP
Utah Other 1043466899 PEHP
Utah Other 1043466899 PEHP
Utah MEDICAID 1043466899 PEHP
Utah Other 1126140 PEHP

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