Bertele, Terence
Bertele, Terence is an individual health care provider with primary practice located at 12070 Old Line Ctr Ste 303, Waldorf MD 20602-2513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bertele, Terence can be contacted via phone (301) 645-5100.Contact Information
Primary practice address
12070 Old Line Ctr Ste 303
Waldorf MD 20602-2513
Phone: (301) 645-5100
Fax: (301) 645-3695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0030041 | Maryland |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD12286 | District of Columbia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 101031774 | Virginia |
Profile Details
| NPI number | 1326039579 |
|---|---|
| LBN Legal business name | Bertele, Terence |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Feb 22nd, 2016 - about 8 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 | 1326039579 | NPPES |
| Maryland | Other | 410942-01 | BCBS |
| Maryland | MEDICAID | 491041900 | BCBS |
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