Berghout, Bryan Leonard

Berghout, Bryan Leonard is an individual health care provider with primary practice located at 10821 19Th Ave Se , Everett WA 98208-5103. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Berghout, Bryan Leonard can be contacted via phone (425) 337-7000.

Contact Information

Primary practice address
10821 19Th Ave Se Everett WA 98208-5103
Phone: (425) 337-7000
Fax: (425) 338-2408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO00000813 Washington

Profile Details

NPI number 1255411419
LBN Legal business name Berghout, Bryan Leonard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Feb 5th, 2024 - about 10 months 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 1255411419 NPPES
Washington MEDICAID 8484388

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