Bergeson, Jeffrey M

Bergeson, Jeffrey M is an individual health care provider with primary practice located at 11795 Education St Suite 110, Auburn CA 95602-2454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bergeson, Jeffrey M can be contacted via phone (530) 886-6820.

Contact Information

Primary practice address
11795 Education St Suite 110 Auburn CA 95602-2454
Fax: (530) 886-6821
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A9815 California

Profile Details

NPI number 1467575654
LBN Legal business name Bergeson, Jeffrey M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated May 12th, 2015 - about 10 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 1467575654 NPPES
California MEDICAID 00AX98150

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