Bergquist, John Randol

Bergquist, John Randol is an individual health care provider with primary practice located at 1145 S Utica Ave Ste 701 , Tulsa OK 74104-4019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bergquist, John Randol can be contacted via phone (918) 582-6544.

Contact Information

Primary practice address
1145 S Utica Ave Ste 701 Tulsa OK 74104-4019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 56488 Minnesota
Allopathic & Osteopathic Physicians / Surgery 208600000X A160484 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 38503 Oklahoma

Profile Details

NPI number 1750645529
LBN Legal business name Bergquist, John Randol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Sep 16th, 2021 - 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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