Bergstedt, Jacob P

Bergstedt, Jacob P is an individual health care provider with primary practice located at 975 Kingsivew Drive Bldg A, Lebanon OH 45036-9562. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bergstedt, Jacob P can be contacted via phone (513) 228-7800.

Contact Information

Primary practice address
975 Kingsivew Drive Bldg A Lebanon OH 45036-9562
Phone: (513) 228-7800
Fax: (513) 228-7846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X F-1500003 Ohio

Profile Details

NPI number 1538448766
LBN Legal business name Bergstedt, Jacob P
Credentials IMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2011
Last updated May 8th, 2018 - about 7 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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