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Contact Information

SHANNON BERGFELD
13230 MANCHESTER RD
SAINT LOUIS, MO63131-1706
 Phone: 314-821-2886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SHANNON BERGFELD · (Female)

NPI # 1487066510
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2014
Last updated 05/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2008020774
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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