Bergin, Mark Andrew

Bergin, Mark Andrew is an individual health care provider with primary practice located at 23829 Little Mack Ave Suite 100, Saint Clair Shores MI 48080-1186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bergin, Mark Andrew can be contacted via phone (586) 773-1300.

Contact Information

Primary practice address
23829 Little Mack Ave Suite 100 Saint Clair Shores MI 48080-1186
Phone: (586) 773-1300
Fax: (586) 773-1600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301102548 Michigan

Profile Details

NPI number 1831365477
LBN Legal business name Bergin, Mark Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2008
Last updated Jul 16th, 2013 - about 11 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 1831365477 NPPES
Michigan MEDICAID 2706069

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