Bertolino, Angelo Anthony
Bertolino, Angelo Anthony is an sole proprietor health care provider with primary practice located at 357 Western Ave , Gloucester MA 01930-4014. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bertolino, Angelo Anthony can be contacted via phone (978) 281-1828.Contact Information
Primary practice address
357 Western Ave
Gloucester MA 01930-4014
Phone: (978) 281-1828
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1875 | Massachusetts |
Profile Details
| NPI number | 1346467990 |
|---|---|
| LBN Legal business name | Bertolino, Angelo Anthony |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Mar 11th, 2015 - about 9 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 | 1346467990 | NPPES |
| Massachusetts | MEDICAID | 1600176 | |
| Massachusetts | Other | 453911 | |
| Massachusetts | Other | Y45426 |
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