Johnsen, Bergan Jayde

Johnsen, Bergan Jayde is an individual health care provider with primary practice located at 3000 Risen Son Blvd , Council Bluffs IA 51503-1911. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Johnsen, Bergan Jayde can be contacted via phone (712) 366-9655.

Contact Information

Primary practice address
3000 Risen Son Blvd Council Bluffs IA 51503-1911
Phone: (712) 366-9655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 110375 Iowa

Profile Details

NPI number 1740950146
LBN Legal business name Johnsen, Bergan Jayde
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2021
Last updated Sep 16th, 2021 - about 4 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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