Bergin, Cameron Michael
Bergin, Cameron Michael is an individual health care provider with primary practice located at 242 King Avenue Suite 150, Athens GA 30606. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Bergin, Cameron Michael can be contacted via phone (706) 475-1870.Contact Information
Primary practice address
242 King Avenue Suite 150
Athens GA 30606
Phone: (706) 475-1870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA1847 | Nevada |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 3116 | Georgia |
Profile Details
NPI number | 1609829274 |
---|---|
LBN Legal business name | Bergin, Cameron Michael |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Aug 20th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609829274 | NPPES |
Nevada | MEDICAID | 1609829274 |
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