Bergoffen, Joann
Bergoffen, Joann is an individual health care provider with primary practice located at 260 International Cir , San Jose CA 95119-1130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Bergoffen, Joann can be contacted via phone (408) 972-7000.Contact Information
Primary practice address
260 International Cir
San Jose CA 95119-1130
Phone: (408) 972-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | G76310 | California |
Profile Details
| NPI number | 1861566465 |
|---|---|
| LBN Legal business name | Bergoffen, Joann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861566465 | NPPES |
| California | MEDICAID | 00G763100 |
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