Bergstrom, Laurie Ann

Bergstrom, Laurie Ann is an individual health care provider with primary practice located at 7520 N Oracle Rd Suite 100 Catalina Pointe Arthritis & Rheumatology Specialist, Pc, Tucson AZ 85704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Bergstrom, Laurie Ann can be contacted via phone (520) 408-1133.

Contact Information

Primary practice address
7520 N Oracle Rd Suite 100 Catalina Pointe Arthritis & Rheumatology Specialist, Pc Tucson AZ 85704
Fax: (520) 408-2233
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X AZ29014 Arizona

Profile Details

NPI number 1972694123
LBN Legal business name Bergstrom, Laurie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 7th, 2010 - about 15 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 1972694123 NPPES
Arizona Other AZ077488 BCBS
Arizona MEDICAID 846454 BCBS

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