Bergo, Shane Daniel
Bergo, Shane Daniel is an individual health care provider with primary practice located at 730 Whalers Way Suite 300, Fort Collins CO 80525-7585. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bergo, Shane Daniel can be contacted via phone (970) 229-1404.Contact Information
Primary practice address
730 Whalers Way Suite 300
Fort Collins CO 80525-7585
Phone: (970) 229-1404
Fax: (970) 229-1422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 7256 | Colorado |
Profile Details
| NPI number | 1023137122 |
|---|---|
| LBN Legal business name | Bergo, Shane Daniel |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Aug 8th, 2007 - about 17 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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