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Contact Information

LISA BERGSMA, DO
601 ELMWOOD AVE
BOX 655
ROCHESTER, NY14642
 Phone: 585-463-2940
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LISA BERGSMA · (Female)

NPI Number 1396004842
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/03/2012
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101023718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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