Berglund, Derek
Berglund, Derek is an individual health care provider with primary practice located at 81 Veronica Ave Ste 205 , Somerset NJ 08873-3491. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Berglund, Derek can be contacted via phone (732) 640-5316.Contact Information
Primary practice address
81 Veronica Ave Ste 205
Somerset NJ 08873-3491
Phone: (732) 640-5316
Fax: (800) 689-2361
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 142708 | Montana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA11864000 | New Jersey |
Profile Details
| NPI number | 1235526591 |
|---|---|
| LBN Legal business name | Berglund, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2015 |
| Last updated | Jun 27th, 2024 - about 2 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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