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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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