Bergman, Jeremy
Bergman, Jeremy is an sole proprietor health care provider with primary practice located at 708A Windover Rd , Jonesboro AR 72401-6064. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bergman, Jeremy can be contacted via phone (870) 219-0829.Contact Information
Primary practice address
708A Windover Rd
Jonesboro AR 72401-6064
Phone: (870) 219-0829
Fax: (870) 932-1155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA2344 | Arkansas |
Profile Details
| NPI number | 1053625533 |
|---|---|
| LBN Legal business name | Bergman, Jeremy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2010 |
| Last updated | Jul 27th, 2010 - about 15 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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