Bertin, Anthony Patrick
Bertin, Anthony Patrick is an sole proprietor health care provider with primary practice located at 4976 Tuscarawas St W , Canton OH 44708-5057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bertin, Anthony Patrick can be contacted via phone (330) 479-0114.Contact Information
Primary practice address
4976 Tuscarawas St W
Canton OH 44708-5057
Phone: (330) 479-0114
Fax: (330) 479-0208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 34-003103 | Ohio |
Profile Details
| NPI number | 1063410611 |
|---|---|
| LBN Legal business name | Bertin, Anthony Patrick |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Mar 25th, 2019 - about 5 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 | 1063410611 | NPPES |
| Ohio | MEDICAID | 0504592 |
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