Bergum, Melissa M

Bergum, Melissa M is an sole proprietor health care provider with primary practice located at 25 Kessel Ct Ste 105 , Madison WI 53711-6227. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bergum, Melissa M can be contacted via phone (608) 280-2700.

Contact Information

Primary practice address
25 Kessel Ct Ste 105 Madison WI 53711-6227
Phone: (608) 280-2700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 814520 Wisconsin
Behavioral Health & Social Service Providers / Social Worker 104100000X 129958 Wisconsin

Profile Details

NPI number 1306365168
LBN Legal business name Bergum, Melissa M
Credentials MSW, APSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2017
Last updated Jul 21st, 2022 - about 3 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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