Brimley-Bergstrom, Shauna Renee

Brimley-Bergstrom, Shauna Renee is an individual health care provider with primary practice located at 37 Pond St. , Bangor ME 04401. 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. Brimley-Bergstrom, Shauna Renee can be contacted via phone (207) 945-4334.

Contact Information

Primary practice address
37 Pond St. Bangor ME 04401
Phone: (207) 945-4334
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT2623 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 2503 Massachusetts

Profile Details

NPI number 1932539244
LBN Legal business name Brimley-Bergstrom, Shauna Renee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2013
Last updated Feb 19th, 2014 - about 11 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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