Bergman, Jason B

Bergman, Jason B is an individual health care provider with primary practice located at 19550 E 39Th St S Ste 335 , Independence MO 64057-2311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bergman, Jason B can be contacted via phone (816) 350-0005.

Contact Information

Primary practice address
19550 E 39Th St S Ste 335 Independence MO 64057-2311
Phone: (816) 350-0005
Fax: (816) 350-0015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2004016407 Missouri

Profile Details

NPI number 1326056722
LBN Legal business name Bergman, Jason B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated May 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326056722 NPPES
Kansas MEDICAID 200418930A
Kansas MEDICAID 201468105
Kansas Other P00373752

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