Bergman, Donald Michael
Bergman, Donald Michael is an sole proprietor health care provider with primary practice located at 161 W Sunset Dr , Waukesha WI 53189-7674. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bergman, Donald Michael can be contacted via phone (262) 549-0606.Contact Information
Primary practice address
161 W Sunset Dr
Waukesha WI 53189-7674
Phone: (262) 549-0606
Fax: (262) 549-9121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1929 | Wisconsin |
Profile Details
| NPI number | 1770579377 |
|---|---|
| LBN Legal business name | Bergman, Donald Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Oct 19th, 2011 - about 13 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 | 1770579377 | NPPES |
| Wisconsin | MEDICAID | 38785900 |
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