Bergh, Trae Jordan

Bergh, Trae Jordan is an individual health care provider with primary practice located at 575 N Sioux Point Rd , Dakota Dunes SD 57049-5312. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Bergh, Trae Jordan can be contacted via phone (605) 217-2667.

Contact Information

Primary practice address
575 N Sioux Point Rd Dakota Dunes SD 57049-5312
Phone: (605) 217-2667
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1156 South Dakota

Profile Details

NPI number 1992286223
LBN Legal business name Bergh, Trae Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2018
Last updated Feb 25th, 2020 - about 5 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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