Bergstrom, Laura
Bergstrom, Laura is an sole proprietor health care provider with primary practice located at 8515 Eagle Point Blvd , Lake Elmo MN 55042-8624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Bergstrom, Laura can be contacted via phone (612) 879-1000.Contact Information
Primary practice address
8515 Eagle Point Blvd
Lake Elmo MN 55042-8624
Phone: (612) 879-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 13671 | Minnesota |
Profile Details
NPI number | 1770133175 |
---|---|
LBN Legal business name | Bergstrom, Laura |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 17th, 2019 |
Last updated | Jul 30th, 2023 - about last year |
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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