Bergman, Stacy Heather
Bergman, Stacy Heather is an individual health care provider with primary practice located at 1601 Academy Rd , Ponca City OK 74604-4409. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Bergman, Stacy Heather can be contacted via phone (580) 340-3728.Contact Information
Primary practice address
1601 Academy Rd
Ponca City OK 74604-4409
Phone: (580) 340-3728
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OA780 | Oklahoma |
Profile Details
| NPI number | 1912538000 |
|---|---|
| LBN Legal business name | Bergman, Stacy Heather |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2020 |
| Last updated | Jan 28th, 2020 - about 4 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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