Bergsman, Kenneth

Bergsman, Kenneth is an individual health care provider with primary practice located at 27207 Lahser Rd Suite 200 B, Southfield MI 48034-2168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bergsman, Kenneth can be contacted via phone (248) 358-4892.

Contact Information

Primary practice address
27207 Lahser Rd Suite 200 B Southfield MI 48034-2168
Phone: (248) 358-4892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301028293 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301028293 Michigan

Profile Details

NPI number 1164464913
LBN Legal business name Bergsman, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 18th, 2010 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164464913 NPPES
Michigan MEDICAID 4482104

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