Bertken, Richard Dennis

Bertken, Richard Dennis is an individual health care provider with primary practice located at 290 N Wayte Ln Ste 2300 , Fresno CA 93701-2124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Bertken, Richard Dennis can be contacted via phone (866) 342-6012.

Contact Information

Primary practice address
290 N Wayte Ln Ste 2300 Fresno CA 93701-2124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G30979 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G30979 California

Profile Details

NPI number 1609895150
LBN Legal business name Bertken, Richard Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 27th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609895150 NPPES
California MEDICAID 00G309790
California Other BA311Z

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