Bergman, Chad
Bergman, Chad is an sole proprietor health care provider with primary practice located at 510 W 49Th St , Indianapolis IN 46208-3480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bergman, Chad can be contacted via phone (317) 940-3647.Contact Information
Primary practice address
510 W 49Th St
Indianapolis IN 46208-3480
Phone: (317) 940-3647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | 123456 | Texas |
Profile Details
| NPI number | 1639146079 |
|---|---|
| LBN Legal business name | Bergman, Chad |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Apr 25th, 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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