Bergevin, Marie Rebecca Joanne

Bergevin, Marie Rebecca Joanne is an individual health care provider with primary practice located at 200 Meehan Road , Malone NY 12953. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Bergevin, Marie Rebecca Joanne can be contacted via phone (518) 483-0198.

Contact Information

Primary practice address
200 Meehan Road Malone NY 12953
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 124Q00000X New York

Profile Details

NPI number 1114061116
LBN Legal business name Bergevin, Marie Rebecca Joanne
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
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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