Bergvall, Jennifer

Bergvall, Jennifer is an individual health care provider with primary practice located at 5000 Bakers Mill Ln Ste 170 , Richmond VA 23230-2432. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bergvall, Jennifer can be contacted via phone (804) 359-0770.

Contact Information

Primary practice address
5000 Bakers Mill Ln Ste 170 Richmond VA 23230-2432
Phone: (804) 359-0770
Fax: (804) 359-1106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618000957 Virginia

Profile Details

NPI number 1205894938
LBN Legal business name Bergvall, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated May 17th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205894938 NPPES
Virginia Other 1205894938 NPI

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