Bergvall, Ethan Schuyler
Bergvall, Ethan Schuyler is an sole proprietor health care provider with primary practice located at 1240 Lee St , Charlottesville VA 22908-0817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Bergvall, Ethan Schuyler can be contacted via phone (434) 924-9333.Contact Information
Primary practice address
1240 Lee St
Charlottesville VA 22908-0817
Phone: (434) 924-9333
Fax: (434) 243-3938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 0101268271 | Virginia |
Profile Details
| NPI number | 1891988242 |
|---|---|
| LBN Legal business name | Bergvall, Ethan Schuyler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Aug 8th, 2023 - about 2 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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