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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 1003904210 | NPPES |
| Indiana | MEDICAID | 200095140 |
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