Bergmooser, Bobbi L

Bergmooser, Bobbi L is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bergmooser, Bobbi L can be contacted via phone (207) 973-7000.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Phone: (207) 973-7000
Fax: (207) 973-5042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R049891 Maine

Profile Details

NPI number 1750553921
LBN Legal business name Bergmooser, Bobbi L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Apr 29th, 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 1750553921 NPPES
Other 079296 CCNA
Other R049891 CCNA
Other 4704108789 CCNA

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