Bergquist, Elisa

Bergquist, Elisa is an individual health care provider with primary practice located at 500 Legacy Plz W , La Porte IN 46350-5254. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bergquist, Elisa can be contacted via phone (219) 326-0943.

Contact Information

Primary practice address
500 Legacy Plz W La Porte IN 46350-5254
Phone: (219) 326-0943
Fax: (219) 326-5684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005757A Indiana

Profile Details

NPI number 1922476878
LBN Legal business name Bergquist, Elisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2015
Last updated Sep 18th, 2020 - about 4 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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