Bergquist, Scott R
Bergquist, Scott R is an individual health care provider with primary practice located at 2045 Oak Marsh Dr , Fernandina Beach FL 32034-2462. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Bergquist, Scott R can be contacted via phone (888) 684-8227.Contact Information
Primary practice address
2045 Oak Marsh Dr
Fernandina Beach FL 32034-2462
Phone: (888) 684-8227
Fax: (888) 684-8227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1194415570 |
|---|---|
| LBN Legal business name | Bergquist, Scott R |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2023 |
| Last updated | Jun 18th, 2024 - about 6 months 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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