Bergman, Robert Todd
Bergman, Robert Todd is an individual health care provider with primary practice located at 2350 Northpark , Columbus IN 47203. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bergman, Robert Todd can be contacted via phone (812) 372-7312.Contact Information
Primary practice address
2350 Northpark
Columbus IN 47203
Phone: (812) 372-7312
Fax: (812) 378-9451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12009216 | Indiana |
Profile Details
| NPI number | 1497811301 |
|---|---|
| LBN Legal business name | Bergman, Robert Todd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Apr 11th, 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 | 1497811301 | NPPES |
| Indiana | Other | 000000251000 | BCBS |
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