Bergstrom, Joseph Edward
Bergstrom, Joseph Edward is an individual health care provider with primary practice located at 3200 W Kimberly Rd , Davenport IA 52806-3059. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bergstrom, Joseph Edward can be contacted via phone (563) 421-1000.Contact Information
Primary practice address
3200 W Kimberly Rd
Davenport IA 52806-3059
Phone: (563) 421-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03192 | Iowa |
Profile Details
| NPI number | 1831154822 |
|---|---|
| LBN Legal business name | Bergstrom, Joseph Edward |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Oct 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831154822 | NPPES |
| Iowa | Other | P00363057 | RR MEDICARE |
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