Bergstrom, Erik
Bergstrom, Erik is an sole proprietor health care provider with primary practice located at 164 E Main St , Rexburg ID 83440-1912. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Bergstrom, Erik can be contacted via phone (208) 227-5076.Contact Information
Primary practice address
164 E Main St
Rexburg ID 83440-1912
Phone: (208) 227-5076
Fax: (208) 227-5079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P6274 | Idaho |
Profile Details
| NPI number | 1073897260 |
|---|---|
| LBN Legal business name | Bergstrom, Erik |
| Credentials | PHARM D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2011 |
| Last updated | Oct 5th, 2011 - about 15 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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