Bergstrom, James Patrick

Bergstrom, James Patrick is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bergstrom, James Patrick can be contacted via phone (763) 586-5844.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 586-5844
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 44913 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44913 Minnesota

Profile Details

NPI number 1588626386
LBN Legal business name Bergstrom, James Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Dec 14th, 2023 - about 3 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 1588626386 NPPES
Minnesota Other 6605839 MEDICA UC
Minnesota Other 1032065 MEDICA UC
Minnesota Other 0404787 MEDICA UC
Minnesota MEDICAID 076642900 MEDICA UC
Minnesota Other 65G80BE MEDICA UC
Minnesota Other 142969 MEDICA UC
Minnesota Other 1685593 MEDICA UC
Minnesota Other HP36617 MEDICA UC

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