Bertelson, John

Bertelson, John is an individual health care provider with primary practice located at 1600 W 38Th St Suite 308, Austin TX 78731-6400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry is his primary health care specialty. Bertelson, John can be contacted via phone (512) 324-3540.

Contact Information

Primary practice address
1600 W 38Th St Suite 308 Austin TX 78731-6400
Phone: (512) 324-3540
Fax: (512) 324-3541
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X L7311 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X L7311 Texas

Profile Details

NPI number 1215959697
LBN Legal business name Bertelson, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Dec 19th, 2023 - about last year

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 1215959697 NPPES
Texas MEDICAID 160104904
Texas MEDICAID 160104905

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