Bergman, Stephen Eric
Bergman, Stephen Eric is an sole proprietor health care provider with primary practice located at 1169 Eastern Parkway Medical Arts Building Ste 3412, Louisville KY 40217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Bergman, Stephen Eric can be contacted via phone (502) 456-6001.Contact Information
Primary practice address
1169 Eastern Parkway Medical Arts Building Ste 3412
Louisville KY 40217
Phone: (502) 456-6001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 19335 | Kentucky |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 19335 | Kentucky |
Profile Details
| NPI number | 1871761858 |
|---|---|
| LBN Legal business name | Bergman, Stephen Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2008 |
| Last updated | Feb 13th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871761858 | NPPES |
| Kentucky | MEDICAID | 64193352 |
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