Bergman, Gordon John
Bergman, Gordon John is an sole proprietor health care provider with primary practice located at 2821 Montwood Ln , Bremerton WA 98312-1936. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bergman, Gordon John can be contacted via phone (360) 689-3101.Contact Information
Primary practice address
2821 Montwood Ln
Bremerton WA 98312-1936
Phone: (360) 689-3101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1982934303 |
|---|---|
| LBN Legal business name | Bergman, Gordon John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2010 |
| Last updated | Mar 19th, 2012 - about 12 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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