Bergstrom, Richard T
Bergstrom, Richard T is an sole proprietor health care provider with primary practice located at 3305 Placer St Ste A, Redding CA 96001-2364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bergstrom, Richard T can be contacted via phone (530) 243-3687.Contact Information
Primary practice address
3305 Placer St Ste A
Redding CA 96001-2364
Phone: (530) 243-3687
Fax: (530) 243-3383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | A80467 | California |
Profile Details
| NPI number | 1679557367 |
|---|---|
| LBN Legal business name | Bergstrom, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Sep 5th, 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 | 1679557367 | NPPES |
| California | MEDICAID | 00A804670 |
Popular Providers
-
Babb, Michael J
2888 Eureka Way Ste 100, Redding CA 96001-0210 -
Kearns, Michael J
6600 Mercy Ct Ste 180 , Fair Oaks CA 95628-3198 -
Mcgrady, Murray D
19 Wolf Creek Dr Dept Otolaryngology, Swansea IL 62226-2355 -
Campanelli, Joseph Lewis
2510 Airpark Dr Ste 301 , Redding CA 96001-2462 -
Kaplan, Jory N
2143 Airpark Dr , Redding CA 96001 -
Mazer, Theodore M.
6699 Alvarado Rd Ste 2209, San Diego CA 92120-5240 -
Domb, George H
2125 Court St , Redding CA 96001-2531 -
Ow, Randall A
2 Medical Plaza Dr Ste 225 & 235, Roseville CA 95661-3043