Bergstedt, Lauren

Bergstedt, Lauren is an individual health care provider with primary practice located at 2900 E 1St Ave , Spokane WA 99202-3914. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Bergstedt, Lauren can be contacted via phone (509) 354-7500.

Contact Information

Primary practice address
2900 E 1St Ave Spokane WA 99202-3914
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT00009868 Washington

Profile Details

NPI number 1811069073
LBN Legal business name Bergstedt, Lauren
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1811069073 NPPES
Washington MEDICAID 8442154

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