Bergsbaken, Jeffrey O

Bergsbaken, Jeffrey O is an individual health care provider with primary practice located at 401 9Th Ave Nw , Watertown SD 57201-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Bergsbaken, Jeffrey O can be contacted via phone (605) 882-7000.

Contact Information

Primary practice address
401 9Th Ave Nw Watertown SD 57201-1548
Phone: (605) 882-7000
Fax: (605) 882-7607
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4686 South Dakota

Profile Details

NPI number 1073527974
LBN Legal business name Bergsbaken, Jeffrey O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 20th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073527974 NPPES
Minnesota Other 59F06BE BCBS
Minnesota MEDICAID 901487000 BCBS
Minnesota Other 0007246 BCBS
Minnesota MEDICAID 5700870 BCBS

Popular Providers