Bergstrom, Tyler
Bergstrom, Tyler is an individual health care provider with primary practice located at 2820 Mount Rushmore Rd , Rapid City SD 57701-5462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bergstrom, Tyler can be contacted via phone (605) 342-3280.Contact Information
Primary practice address
2820 Mount Rushmore Rd
Rapid City SD 57701-5462
Phone: (605) 342-3280
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 9906 | South Dakota |
Profile Details
NPI number | 1619276334 |
---|---|
LBN Legal business name | Bergstrom, Tyler |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2011 |
Last updated | Jun 30th, 2016 - about 9 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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