Berta, Theresa M.

Berta, Theresa M. is an individual health care provider with primary practice located at 501 Via Casitas , Greenbrae CA 94904-1901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Berta, Theresa M. can be contacted via phone (415) 464-1771.

Contact Information

Primary practice address
501 Via Casitas Greenbrae CA 94904-1901
Phone: (415) 464-1771
Fax: (415) 464-1158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A48830 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A48830 California

Profile Details

NPI number 1316087612
LBN Legal business name Berta, Theresa M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Feb 26th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316087612 NPPES
California MEDICAID 00A488300

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