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Contact Information

HEATHER A BERGSTROM, LAC
9951 W ST LUKES DR
NAMPA, ID83687-7914
 Phone: 208-467-6700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for HEATHER A BERGSTROM · (Female)

NPI Number 1205166527
Status Active
Credentials LAC
Entity Individual
Enumeration date 01/08/2010
Last updated 07/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # ACU-279
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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