Bergum, Shelly Kay

Bergum, Shelly Kay is an sole proprietor health care provider with primary practice located at 2315 Stockton Blvd , Sacramento CA 95817-2201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bergum, Shelly Kay can be contacted via phone (916) 734-5538.

Contact Information

Primary practice address
2315 Stockton Blvd Sacramento CA 95817-2201
Fax: (916) 734-0907
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 17398 California

Profile Details

NPI number 1487854691
LBN Legal business name Bergum, Shelly Kay
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2007
Last updated Jul 25th, 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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