Bergstrom, Ida M

Bergstrom, Ida M is an sole proprietor health care provider with primary practice located at 815 Connecticut Ave Nw , Washington DC 20006-4004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bergstrom, Ida M can be contacted via phone (202) 775-8500.

Contact Information

Primary practice address
815 Connecticut Ave Nw Washington DC 20006-4004
Phone: (202) 775-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD30754 District of Columbia

Profile Details

NPI number 1366611352
LBN Legal business name Bergstrom, Ida M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2008
Last updated Feb 25th, 2008 - about 18 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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