Bertagnolli, Andrew E
Bertagnolli, Andrew E is an individual health care provider with primary practice located at 1850 Sullivan Ave Suite 200, Daly City CA 94015-2204. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bertagnolli, Andrew E can be contacted via phone (650) 985-7500.Contact Information
Primary practice address
1850 Sullivan Ave Suite 200
Daly City CA 94015-2204
Phone: (650) 985-7500
Fax: (650) 985-7511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY15734 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1638 | Hawaii |
Profile Details
| NPI number | 1578683926 |
|---|---|
| LBN Legal business name | Bertagnolli, Andrew E |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Dec 16th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578683926 | NPPES |
| California | Other | P00360060 | RAILROAD MEDICARE |
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