Bergman, Edward

Bergman, Edward is an individual health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. He recently has only one registered license in Pharmacy Service Providers / Critical Care, which is considered as his primary health care specialty. Bergman, Edward can be contacted via phone (817) 702-5818.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Critical Care 1835C0205X 64979 Texas

Profile Details

NPI number 1811661911
LBN Legal business name Bergman, Edward
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2021
Last updated Aug 3rd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811661911 NPPES
Other NA NA

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