Bergman, Mark

Bergman, Mark is an individual health care provider with primary practice located at 11100 Euclid Avenue , Cleveland OH 44106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bergman, Mark can be contacted via phone (440) 205-5703.

Contact Information

Primary practice address
11100 Euclid Avenue Cleveland OH 44106
Phone: (440) 205-5703
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 102645 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 35090582 Ohio

Profile Details

NPI number 1811908965
LBN Legal business name Bergman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 28th, 2011 - about 14 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 1811908965 NPPES
Ohio Other 7795076 AETNA
Ohio Other 000000541302 AETNA
Ohio Other 2444004 AETNA
Ohio MEDICAID 2774654 AETNA
Ohio Other 751099 AETNA
Ohio MEDICAID 006957000 AETNA
Ohio Other 000000545329 AETNA
Ohio MEDICAID 34890000 AETNA
Ohio Other 3600665 AETNA
Ohio Other HP69898 AETNA
Ohio Other 421770 AETNA
Ohio Other 490P0BE AETNA
Ohio Other 000000226038 AETNA
Ohio Other 133208 AETNA
Ohio Other P00459854 AETNA

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