Berghofer, Stephen Henry

Berghofer, Stephen Henry is an individual health care provider with primary practice located at 112 S Harrison St , Alexandria IN 46001-2067. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berghofer, Stephen Henry can be contacted via phone (765) 724-7627.

Contact Information

Primary practice address
112 S Harrison St Alexandria IN 46001-2067
Phone: (765) 724-7627
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01043612A Indiana
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01043612A Indiana

Profile Details

NPI number 1124001094
LBN Legal business name Berghofer, Stephen Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 3rd, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124001094 NPPES
Indiana MEDICAID 200062200
Indiana Other P00616368
Indiana Other DC3600

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