Dvergsten, Jeffrey Arthur
Dvergsten, Jeffrey Arthur is an individual health care provider with primary practice located at 2100 Erwin Rd , Durham NC 27705-3941. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Dvergsten, Jeffrey Arthur can be contacted via phone (919) 684-8111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45211 | Minnesota |
| Allopathic & Osteopathic Physicians / Pediatric Rheumatology | 2080P0216X | 2010-01376 | North Carolina |
Profile Details
| NPI number | 1871521443 |
|---|---|
| LBN Legal business name | Dvergsten, Jeffrey Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jan 19th, 2022 - about 4 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 | 1871521443 | NPPES |
| Minnesota | Other | 631T9DV | BCBS |
| Minnesota | Other | HP37914 | BCBS |
| Minnesota | Other | 12-03423 | BCBS |
| Minnesota | Other | 12-09026 | BCBS |
| Minnesota | MEDICAID | 0597021 | BCBS |
| Minnesota | MEDICAID | 0147475 | BCBS |
| Minnesota | Other | 171323 | BCBS |
| Minnesota | Other | 1864181 | BCBS |
| Minnesota | MEDICAID | 34800400 | BCBS |
| Minnesota | MEDICAID | 552443100 | BCBS |
| Minnesota | Other | 1033631 | BCBS |
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