Bergner, Raymond Michael
Bergner, Raymond Michael is an sole proprietor health care provider with primary practice located at 901 E Grove St , Bloomington IL 61701-4200. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bergner, Raymond Michael can be contacted via phone (309) 828-6821.Contact Information
Primary practice address
901 E Grove St
Bloomington IL 61701-4200
Phone: (309) 828-6821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | Illinois |
Profile Details
| NPI number | 1134304629 |
|---|---|
| LBN Legal business name | Bergner, Raymond Michael |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2008 |
| Last updated | Jan 3rd, 2008 - about 16 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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