Bergman, Matthew
Bergman, Matthew is an sole proprietor health care provider with primary practice located at 8154 E Florentine Rd Ste B , Prescott Valley AZ 86314-8487. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bergman, Matthew can be contacted via phone (928) 772-8175.Contact Information
Primary practice address
8154 E Florentine Rd Ste B
Prescott Valley AZ 86314-8487
Phone: (928) 772-8175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D5843 | Arizona |
Profile Details
| NPI number | 1366636540 |
|---|---|
| LBN Legal business name | Bergman, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Aug 30th, 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.
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