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
Phone: (817) 702-5818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1811661911 | NPPES |
| Other | NA | NA |
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