Bergles, James Allen

Bergles, James Allen is an individual health care provider with primary practice located at 1560 Bonforte Blvd , Pueblo CO 81001. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bergles, James Allen can be contacted via phone (719) 544-5340.

Contact Information

Primary practice address
1560 Bonforte Blvd Pueblo CO 81001
Phone: (719) 544-5340
Fax: (719) 583-2206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00625 Colorado

Profile Details

NPI number 1013950245
LBN Legal business name Bergles, James Allen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1013950245 NPPES
Colorado MEDICAID 02006252

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