Bergman, Debra

Bergman, Debra is an individual health care provider with primary practice located at 625 W Washington Ave , Madison WI 53703-2637. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Licensed Practical Nurse, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bergman, Debra can be contacted via phone (608) 280-2700.

Contact Information

Primary practice address
625 W Washington Ave Madison WI 53703-2637
Phone: (608) 280-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1980 Wisconsin
Nursing Service Providers / Licensed Practical Nurse 164W00000X 24505 Wisconsin
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2616 Wisconsin

Profile Details

NPI number 1023225174
LBN Legal business name Bergman, Debra
Credentials Bachelor of Social Work (BSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Sep 11th, 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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