Bertolino-Thomas, Michelle Lynn

Bertolino-Thomas, Michelle Lynn is an individual health care provider with primary practice located at 6226 E Pima St Ste 100 , Tucson AZ 85712-7003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bertolino-Thomas, Michelle Lynn can be contacted via phone (520) 298-7200.

Contact Information

Primary practice address
6226 E Pima St Ste 100 Tucson AZ 85712-7003
Phone: (520) 298-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2862 Arizona

Profile Details

NPI number 1841285699
LBN Legal business name Bertolino-Thomas, Michelle Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Sep 30th, 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 1841285699 NPPES
Arizona MEDICAID 044077

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