Individual
DR. JESSICA SUZANNE BERGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1045 WARWICK AVE, SUITE 102, WARWICK, RI 02888-3657
(401) 461-2707
(401) 461-2708
Mailing address
1045 WARWICK AVE, SUITE 102, WARWICK, RI 02888-3657
(401) 461-2707
(401) 461-2708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC00417
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21678-0
BLUE CROSS & BLUE SHIELD
RI
01
—
408582
BLUE CHIP
RI
Enumeration date
11/08/2006
Last updated
07/08/2007
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