Bergquist, Erick J.

Bergquist, Erick J. is an sole proprietor health care provider with primary practice located at 121 W 2Nd Ave , Latrobe PA 15650-1068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bergquist, Erick J. can be contacted via phone (412) 920-5860.

Contact Information

Primary practice address
121 W 2Nd Ave Latrobe PA 15650-1068
Phone: (412) 920-5860
Fax: (412) 920-5861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD015265E Pennsylvania

Profile Details

NPI number 1376507756
LBN Legal business name Bergquist, Erick J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated Mar 10th, 2021 - about 3 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 1376507756 NPPES
Pennsylvania MEDICAID 0007280820001

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