Organization
GARY T. BERGSTEIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY T BERGSTEIN DC (OWNER)
(412) 781-4433
Entity
Organization
Contact information
Practice address
701 FREEPORT ROAD, SHARPSBURG, PA 15215
(412) 781-4433
(412) 781-9208
Mailing address
701 FREEPORT ROAD, SHARPSBURG, PA 15215
(412) 781-4433
(412) 781-9208
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC003337L
PA
111N00000X
Chiropractor
Primary
DC007699L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01887575
—
PA
05
—
1084257
—
PA
Enumeration date
01/30/2007
Last updated
08/22/2020
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