Bergstrom, Justin Andrew

Bergstrom, Justin Andrew is an sole proprietor health care provider with primary practice located at 2627 Griffin Ave. , Enumclaw WA 98022. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bergstrom, Justin Andrew can be contacted via phone (360) 825-5459.

Contact Information

Primary practice address
2627 Griffin Ave. Enumclaw WA 98022
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH60169869 Washington

Profile Details

NPI number 1740590884
LBN Legal business name Bergstrom, Justin Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2010
Last updated Oct 7th, 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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