Billie Bergstrom in Anchorage - Physician Assistant
Billie Bergstrom - NPI 1104983691
Billie Bergstrom is a Physician Assistant in Anchorage, Alaska. Billie Bergstrom practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Billie Bergstrom is 1104983691. The last update date is 2007-07-08.
Billie Bergstrom's current location address is 4200 Lake Otis Parkway, Anchorage, Alaska. You can contact this provider via phone number 9075619444 and fax number 9075619446. The mailing address for Billie Bergstrom is 4200 Lake Otis Parkway, Anchorage, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Billie Bergstrom |
|---|---|
| Address | 4200 Lake Otis Parkway, Anchorage, Alaska |
| Phone Number | 9075619444 |
| Fax Number | 9075619446 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1104983691 |
|---|---|
| Provider Enumeration Date | 2007-01-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4200 Lake Otis Parkway |
|---|---|
| City | Anchorage |
| State | Alaska (AK) |
| Post Code | 99508 |
| Phone Number | 9075619444 |
| Fax Number | 9075619446 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 649 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Where is the Billie Bergstrom located?
The Billie Bergstrom is located at 4200 Lake Otis Parkway, Anchorage, AK 99508.
What is the Billie Bergstrom's specialty and taxonomy code?
The Billie Bergstrom's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Billie Bergstrom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Billie Bergstrom is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Billie Bergstrom's 1104983691 issued?
The Billie Bergstrom's 1104983691 was issued on 2007-01-03.
On what date did the Centers for Medicare & Medicaid Services issue the 1104983691 to Billie Bergstrom?
The Billie Bergstrom received its 1104983691 assignment from the Centers for Medicare & Medicaid Services on 2007-01-03.