Bergmann, Christoph Alexander

Bergmann, Christoph Alexander is an sole proprietor health care provider with primary practice located at 4934 Pecan Dr , Belden MS 38826-8715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bergmann, Christoph Alexander can be contacted via phone (662) 840-1708.

Contact Information

Primary practice address
4934 Pecan Dr Belden MS 38826-8715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 16289 Mississippi

Profile Details

NPI number 1699717439
LBN Legal business name Bergmann, Christoph Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2006
Last updated Nov 14th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699717439 NPPES
Mississippi MEDICAID 00120594
Mississippi MEDICAID 009908720
Mississippi Other 300096927

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