Lookup NPI Numbers from the NPI Registry
NPI Profile for CHARLES W BERGESON in FARGO, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI Number | 1174963318 |
|
| Status | Active | |
| Credentials | LAC | |
| Entity | Individual | |
| Enumeration date | 07/02/2013 | |
| Last updated | 08/26/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CHARLES W BERGESON
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CHARLES W BERGESON, LAC