Menna, Mary Bergeron
Menna, Mary Bergeron is an individual health care provider with primary practice located at 1262 Wood Ln Suite 102, Langhorne PA 19047-1769. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Menna, Mary Bergeron can be contacted via phone (215) 741-9315.Contact Information
Primary practice address
1262 Wood Ln Suite 102
Langhorne PA 19047-1769
Phone: (215) 741-9315
Fax: (215) 741-9317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT001063E | Pennsylvania |
Profile Details
| NPI number | 1831166214 |
|---|---|
| LBN Legal business name | Menna, Mary Bergeron |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Nov 29th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831166214 | NPPES |
| Pennsylvania | Other | 2109689000 | IBC |
| Pennsylvania | MEDICAID | 1011215780001 | IBC |
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