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
Phone: (918) 582-6544
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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