Bergstrom, Laurie Ann
Bergstrom, Laurie Ann is an individual health care provider with primary practice located at 7520 N Oracle Rd Suite 100 Catalina Pointe Arthritis & Rheumatology Specialist, Pc, Tucson AZ 85704. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Bergstrom, Laurie Ann can be contacted via phone (520) 408-1133.Contact Information
Primary practice address
7520 N Oracle Rd Suite 100 Catalina Pointe Arthritis & Rheumatology Specialist, Pc
Tucson AZ 85704
Phone: (520) 408-1133
Fax: (520) 408-2233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | AZ29014 | Arizona |
Profile Details
| NPI number | 1972694123 |
|---|---|
| LBN Legal business name | Bergstrom, Laurie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Apr 7th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972694123 | NPPES |
| Arizona | Other | AZ077488 | BCBS |
| Arizona | MEDICAID | 846454 | BCBS |
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