Bertoline, Elisabeth Renee

Bertoline, Elisabeth Renee is an individual health care provider with primary practice located at 2220 E Gonzales Rd Ste 120A-B , Oxnard CA 93036-3707. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bertoline, Elisabeth Renee can be contacted via phone (805) 981-5151.

Contact Information

Primary practice address
2220 E Gonzales Rd Ste 120A-B Oxnard CA 93036-3707
Phone: (805) 981-5151
Fax: (805) 981-5150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2766 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA20093 California

Profile Details

NPI number 1760636252
LBN Legal business name Bertoline, Elisabeth Renee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Jul 10th, 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 1760636252 NPPES
Colorado MEDICAID 90873050

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