Bergman, John
Bergman, John is an sole proprietor health care provider with primary practice located at 825 Nicollet Mall Ste 1227 , Minneapolis MN 55402-2702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Bergman, John can be contacted via phone (612) 339-4843.Contact Information
Primary practice address
825 Nicollet Mall Ste 1227
Minneapolis MN 55402-2702
Phone: (612) 339-4843
Fax: (612) 339-9168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18723 | Minnesota |
Profile Details
| NPI number | 1437178811 |
|---|---|
| LBN Legal business name | Bergman, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jun 16th, 2008 - about 16 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 | 1437178811 | NPPES |
| Minnesota | Other | 0327994 | MEDICA |
| Minnesota | MEDICAID | 217763300 | MEDICA |
| Minnesota | Other | 070016473 | MEDICA |
| Minnesota | Other | 3925 | MEDICA |
| Minnesota | Other | 01282BE | MEDICA |
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