Bergman, Brandon Scott

Bergman, Brandon Scott is an sole proprietor health care provider with primary practice located at 903 Providence Pl Apt 346 , Providence RI 02903-7011. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Bergman, Brandon Scott can be contacted via phone (857) 204-3200.

Contact Information

Primary practice address
903 Providence Pl Apt 346 Providence RI 02903-7011
Phone: (857) 204-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1861176513
LBN Legal business name Bergman, Brandon Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2023
Last updated Jun 13th, 2023 - about last year

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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