Jorge J. Bergese, Md Inc.

LBN: Jorge J. Bergese, Md Inc.
Jorge J. Bergese, Md Inc. is an health care organization with primary practice located at 370 Cline Ave , Mansfield OH 44907-1057. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Jorge J. Bergese, Md Inc. can be contacted via phone (419) 756-1125, or through Bergese, Jorge J via phone (419) 756-1125.

Contact Information

Primary practice address
370 Cline Ave Mansfield OH 44907-1057
Phone: (419) 756-1125
Fax: (419) 756-1825
Website:
Map and Directions
Authorized official contact:
Name: Bergese, Jorge J Doctor of Medicine (MD)
Phone: (419) 756-1125

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1386740793
LBN Legal business name Jorge J. Bergese, Md Inc.
DBA Doing business as
Authorized official Bergese, Jorge J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386740793 NPPES
Ohio MEDICAID 0221307

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