Stephen Henry Berghofer in Alexandria - Sports Medicine

Stephen Henry Berghofer - NPI 1124001094

Stephen Henry Berghofer is a Sports Medicine in Alexandria, Indiana. Stephen Henry Berghofer practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Stephen Henry Berghofer is 1124001094. The last update date is 2008-10-03.

Stephen Henry Berghofer's current location address is 112 S Harrison St, Alexandria, Indiana. You can contact this provider via phone number 7657247627. The mailing address for Stephen Henry Berghofer is 112 S Harrison St, Alexandria, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Henry Berghofer
Address 112 S Harrison St, Alexandria, Indiana
Phone Number 7657247627
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1124001094
Provider Enumeration Date 2005-11-23
Last Updated Date 2008-10-03

Provider Mailing Address Detail

Address 112 S Harrison St
City Alexandria
State Indiana (IN)
Post Code 460012067
Phone Number 7657247627
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 01043612A
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200062200 IN --
P00616368 IN RAILROAD INDIVIDUAL
DC3600 IN RAILROAD GROUP

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FAQs about Stephen Henry Berghofer

What is the unique identification code assigned to Stephen Henry Berghofer by the Centers for Medicare & Medicaid Services?

The Stephen Henry Berghofer has been issued the NPI (National Provider Identifier) 1124001094. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stephen Henry Berghofer is located?

The Stephen Henry Berghofer is situated at the following address: 112 S Harrison St, Alexandria, IN, 460012067.

What is Stephen Henry Berghofer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen Henry Berghofer's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.

When did the Stephen Henry Berghofer receive its 1124001094?

The Stephen Henry Berghofer was issued its 1124001094 on 2005-11-23, which is the date when the organization was assigned this unique identifier.

When was the information pertaining to Stephen Henry Berghofer most recently updated or revised?

The details related to Stephen Henry Berghofer, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-03.

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