Bergstrom, Joan Louise
Bergstrom, Joan Louise is an sole proprietor health care provider with primary practice located at 1001 N Waldrop Dr #505, Arlington TX 76012-4705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Bergstrom, Joan Louise can be contacted via phone (817) 277-9415.Contact Information
Primary practice address
1001 N Waldrop Dr #505
Arlington TX 76012-4705
Phone: (817) 277-9415
Fax: (817) 277-0360
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | G8579 | Texas |
Other Service Providers / Specialist | 174400000X | G8579 | Texas |
Profile Details
NPI number | 1396727814 |
---|---|
LBN Legal business name | Bergstrom, Joan Louise |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 18th, 2005 |
Last updated | Mar 16th, 2020 - 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.
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