Bergquist, Alan David
Bergquist, Alan David is an sole proprietor health care provider with primary practice located at 1203 E. 4Th Ave. Suite 101 , Milbank SD 57252-0230. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bergquist, Alan David can be contacted via phone (605) 432-9561.Contact Information
Primary practice address
1203 E. 4Th Ave. Suite 101
Milbank SD 57252-0230
Phone: (605) 432-9561
Fax: (605) 432-9562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 767 | South Dakota |
Profile Details
| NPI number | 1083636773 |
|---|---|
| LBN Legal business name | Bergquist, Alan David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1083636773 | NPPES |
| South Dakota | MEDICAID | 76039303 |
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