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
Phone: (417) 875-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467847004 | NPPES |
| Missouri | MEDICAID | 200048601 |
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