Bergman, Beth A.
Bergman, Beth A. is an individual health care provider with primary practice located at 2901 Greenbriar Dr , Springfield IL 62704-6425. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bergman, Beth A. can be contacted via phone (217) 528-7541.Contact Information
Primary practice address
2901 Greenbriar Dr
Springfield IL 62704-6425
Phone: (217) 528-7541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 036-080163 | Illinois |
Profile Details
| NPI number | 1457461766 |
|---|---|
| LBN Legal business name | Bergman, Beth A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Dec 5th, 2008 - about 16 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 | 1457461766 | NPPES |
| Illinois | MEDICAID | 036080163 |
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