Bergman, Jerod Joseph
Bergman, Jerod Joseph is an individual health care provider with primary practice located at 401 S Pelham St , Rhinelander WI 54501-3314. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Bergman, Jerod Joseph can be contacted via phone (715) 362-2300.Contact Information
Primary practice address
401 S Pelham St
Rhinelander WI 54501-3314
Phone: (715) 362-2300
Fax: (715) 362-2305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 3888-012 | Wisconsin |
Profile Details
| NPI number | 1477630564 |
|---|---|
| LBN Legal business name | Bergman, Jerod Joseph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1477630564 | NPPES |
| Wisconsin | MEDICAID | 38942100 |
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