Lance K Bergstrom Md, Pc in Fargo - Specialist
Lance K Bergstrom Md, Pc - NPI 1801819826
Lance K Bergstrom Md, Pc is a Specialist in Fargo, North Dakota. Lance K Bergstrom Md, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lance K Bergstrom Md, Pc is 1801819826. The last update date is 2010-07-22.
Lance K Bergstrom Md, Pc's current location address is 2601 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012355200 and fax number 7012370927. The mailing address for Lance K Bergstrom Md, Pc is 2601 University Dr S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lance K Bergstrom Md, Pc |
|---|---|
| Address | 2601 University Dr S, Fargo, North Dakota |
| Phone Number | 7012355200 |
| Fax Number | 7012370927 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bergstrom Lance |
| Credentials | M.D. |
| Telephone Number | 7012355200 |
NPI Number Detail
| NPI Number | 1801819826 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2010-07-22 |
Provider Mailing Address Detail
| Address | 2601 University Dr S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581036025 |
| Phone Number | 7012355200 |
| Fax Number | 7012370927 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 38105 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1068001 | ND | BLUE CROSS OF ND | |
| 33A70BE | MN | COMPREHENSIVE CARE SERVIC | |
| 33A70BE | MN | BLUEPLUS OF MN | |
| 12698 | ND | -- | |
| 33A70BE | MN | BLUE CROSS OF MN | |
| 1068001 | ND | BLUE CROSS FEDERAL |
Post Comment/ Review Below
What is the unique identifier code issued to Lance K Bergstrom Md, Pc by the Centers for Medicare & Medicaid Services?
The Lance K Bergstrom Md, Pc has been assigned the NPI (National Provider Identifier) 1801819826. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lance K Bergstrom Md, Pc is physically located?
The Lance K Bergstrom Md, Pc is situated at the following address: 2601 University Dr S, Fargo, ND 581036025.
What is the area of specialization for Lance K Bergstrom Md, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lance K Bergstrom Md, Pc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801819826 to Lance K Bergstrom Md, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1801819826 to Lance K Bergstrom Md, Pc on 2006-07-25.
When was the information regarding Lance K Bergstrom Md, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lance K Bergstrom Md, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-22.