Individual
ABBY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 E COURT ST, SIDNEY, OH 45365-2810
(937) 492-8080
(937) 492-6971
Mailing address
500 E COURT ST, SIDNEY, OH 45365-2810
(937) 492-8080
(937) 492-6971
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN128039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN128039
LICENSE
OH
Enumeration date
10/15/2008
Last updated
10/15/2008
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