Bergman, Hannah Jacquelyn Miller

Bergman, Hannah Jacquelyn Miller is an individual health care provider with primary practice located at 3555 S National Ave , Springfield MO 65807-7310. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bergman, Hannah Jacquelyn Miller can be contacted via phone (417) 875-3000.

Contact Information

Primary practice address
3555 S National Ave Springfield MO 65807-7310
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 2022028794 Missouri

Profile Details

NPI number 1467847004
LBN Legal business name Bergman, Hannah Jacquelyn Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Sep 28th, 2022 - about 2 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 1467847004 NPPES
Missouri MEDICAID 200048601

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