Bergmann, Carol Elaine
Bergmann, Carol Elaine is an individual health care provider with primary practice located at 15825 Manchester Rd Suite 209, Ellisville MO 63011-2263. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Bergmann, Carol Elaine can be contacted via phone (636) 391-9622.Contact Information
Primary practice address
15825 Manchester Rd Suite 209
Ellisville MO 63011-2263
Phone: (636) 391-9622
Fax: (636) 391-9236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | 00695 | Missouri |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 01404 | Missouri |
Profile Details
| NPI number | 1700942125 |
|---|---|
| LBN Legal business name | Bergmann, Carol Elaine |
| Credentials | AUD.,CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Oct 17th, 2017 - about 7 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 | 1700942125 | NPPES |
| Missouri | Other | 640004344 | RAILFROAD MEDICARE |
| Missouri | Other | 431795961HEA | RAILFROAD MEDICARE |
| Missouri | Other | 46131 | RAILFROAD MEDICARE |
| Missouri | Other | 407251 | RAILFROAD MEDICARE |
| Missouri | Other | 7473310 | RAILFROAD MEDICARE |
| Missouri | Other | 141099800 | RAILFROAD MEDICARE |
| Missouri | Other | 431795961 | RAILFROAD MEDICARE |
| Missouri | Other | 4500105 | RAILFROAD MEDICARE |
| Missouri | Other | 126804 | RAILFROAD MEDICARE |
| Missouri | MEDICAID | 333890101 | RAILFROAD MEDICARE |
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