Bergley, Paul Michael
Bergley, Paul Michael is an sole proprietor health care provider with primary practice located at 711 6Th Ave Ne Suite #1, Isanti MN 55040. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Bergley, Paul Michael can be contacted via phone (763) 444-5567.Contact Information
Primary practice address
711 6Th Ave Ne Suite #1
Isanti MN 55040
Phone: (763) 444-5567
Fax: (763) 444-4991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | 2421 | Minnesota |
Profile Details
| NPI number | 1568673101 |
|---|---|
| LBN Legal business name | Bergley, Paul Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2007 |
| Last updated | Nov 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568673101 | NPPES |
| Minnesota | MEDICAID | 990528600 |
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