Bertolet, Barry Dean
Bertolet, Barry Dean is an individual health care provider with primary practice located at 499 Gloster Creek Village A-2 Cardiology Associates Of N. Ms, Pa, Tupelo MS 38801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bertolet, Barry Dean can be contacted via phone (662) 620-6800.Contact Information
Primary practice address
499 Gloster Creek Village A-2 Cardiology Associates Of N. Ms, Pa
Tupelo MS 38801
Phone: (662) 620-6800
Fax: (662) 620-6950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 11333 | Mississippi |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 11333 | Mississippi |
Profile Details
| NPI number | 1295845444 |
|---|---|
| LBN Legal business name | Bertolet, Barry Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 2nd, 2013 - about 11 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 | 1295845444 | NPPES |
| Mississippi | MEDICAID | 0118728 |
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