Bertelsen, Judy S.
Bertelsen, Judy S. is an sole proprietor health care provider with primary practice located at 2401 Blanding Ave , Alameda CA 94501-1503. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Bertelsen, Judy S. can be contacted via phone (510) 486-1467.Contact Information
Primary practice address
2401 Blanding Ave
Alameda CA 94501-1503
Phone: (510) 486-1467
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | G79823 | California |
Profile Details
| NPI number | 1881747426 |
|---|---|
| LBN Legal business name | Bertelsen, Judy S. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jan 16th, 2009 - about 15 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 | 1881747426 | NPPES |
| California | MEDICAID | 00G798230 |
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