Bergquist, Peter E
Bergquist, Peter E is an individual health care provider with primary practice located at 6600 E 2Nd Street , Casper WY 82609-4348. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bergquist, Peter E can be contacted via phone (307) 266-4000.Contact Information
Primary practice address
6600 E 2Nd Street
Casper WY 82609-4348
Phone: (307) 266-4000
Fax: (307) 995-8112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 452 | Nebraska |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 8467A | Wyoming |
Profile Details
| NPI number | 1982645636 |
|---|---|
| LBN Legal business name | Bergquist, Peter E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Apr 2nd, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982645636 | NPPES |
| Nebraska | Other | P00307203 | RR |
| Nebraska | Other | 84-1102490 | RR |
| Nebraska | Other | 248334 | RR |
| Nebraska | Other | 35600 | RR |
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