Bergstrom, Barbara A
Bergstrom, Barbara A is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy Ste 680 , Milwaukee WI 53215-3633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bergstrom, Barbara A can be contacted via phone (414) 385-1922.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee WI 53215-3633
Phone: (414) 385-1922
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 14867-033 | Wisconsin |
Profile Details
| NPI number | 1093585549 |
|---|---|
| LBN Legal business name | Bergstrom, Barbara A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2024 |
| Last updated | Apr 23rd, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093585549 | NPPES |
| Wisconsin | MEDICAID | 100265750 |
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