Bergquist, Carlisle E

Bergquist, Carlisle E is an individual health care provider with primary practice located at 901 W South St , Salina KS 67401-4053. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bergquist, Carlisle E can be contacted via phone (785) 827-1835.

Contact Information

Primary practice address
901 W South St Salina KS 67401-4053
Phone: (785) 827-1835
Fax: (785) 493-8008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 169 Kansas
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 31113 California

Profile Details

NPI number 1881767549
LBN Legal business name Bergquist, Carlisle E
Credentials LCMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 1st, 2007 - about 18 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 1881767549 NPPES
California Other 31113 LMFT
California Other 169 LMFT

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