Bertolette, Barry Lee

Bertolette, Barry Lee is an individual health care provider with primary practice located at 618 North Morgan Street , Shelby NC 28150-4439. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Bertolette, Barry Lee can be contacted via phone (704) 480-1882.

Contact Information

Primary practice address
618 North Morgan Street Shelby NC 28150-4439
Phone: (704) 480-1882
Fax: (704) 480-1832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201451 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201451 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 201451 North Carolina

Profile Details

NPI number 1407848864
LBN Legal business name Bertolette, Barry Lee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407848864 NPPES
North Carolina MEDICAID 6605025
North Carolina MEDICAID 89014FP

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