Bergstrom, Beth

Bergstrom, Beth is an sole proprietor health care provider with primary practice located at 1000 Health Center Dr , Mattoon IL 61938-9253. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bergstrom, Beth can be contacted via phone (217) 258-2525.

Contact Information

Primary practice address
1000 Health Center Dr Mattoon IL 61938-9253
Phone: (217) 258-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X Illinois

Profile Details

NPI number 1194846022
LBN Legal business name Bergstrom, Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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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