1740408301 NPI number — KARI J BERGMAN CST CFA

Table of content: KARI J BERGMAN CST CFA (NPI 1740408301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740408301 NPI number — KARI J BERGMAN CST CFA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BERGMAN
Provider First Name:
KARI
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CST CFA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740408301
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 131
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENNETT
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80102-0131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-839-9641
Provider Business Mailing Address Fax Number:
303-644-5015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11907 E HARVARD AVE # B4101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AURORA
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80014-5480
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
720-839-9641
Provider Business Practice Location Address Fax Number:
303-644-5015
Provider Enumeration Date:
04/20/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 246ZS0410X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)