Berseth, Eric J

Berseth, Eric J is an individual health care provider with primary practice located at 2432 Clifty Dr , Madison IN 47250-1636. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Radiology, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Rehabilitation is his primary health care specialty. Berseth, Eric J can be contacted via phone (812) 265-1000.

Contact Information

Primary practice address
2432 Clifty Dr Madison IN 47250-1636
Phone: (812) 265-1000
Fax: (812) 265-6994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 08001646 Indiana
Chiropractic Providers / Rehabilitation 111NR0400X 08001646 Indiana

Profile Details

NPI number 1003904210
LBN Legal business name Berseth, Eric J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Mar 25th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003904210 NPPES
Indiana MEDICAID 200095140

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