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Contact Information

JENNIFER L BERGEN, RN
3054 FIFTH AVE
KETCHIKAN, AK99901-5773
 Phone: 907-228-6565
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER L BERGEN · (Female)

NPI Number 1518331834
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/24/2015
Last updated 11/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 104420
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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