Bergman, Thomas Paul

Bergman, Thomas Paul is an individual health care provider with primary practice located at 1575 Beam Ave , Maplewood MN 55109-1126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bergman, Thomas Paul can be contacted via phone (612) 863-6590.

Contact Information

Primary practice address
1575 Beam Ave Maplewood MN 55109-1126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12457 Minnesota

Profile Details

NPI number 1558897173
LBN Legal business name Bergman, Thomas Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2017
Last updated Jun 16th, 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.

Request for update

Popular Providers