Bertoncino, Thomas

Bertoncino, Thomas is an individual health care provider with primary practice located at 4100 S 4Th St , Leavenworth KS 66048-5082. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Bertoncino, Thomas can be contacted via phone (913) 758-6260.

Contact Information

Primary practice address
4100 S 4Th St Leavenworth KS 66048-5082
Phone: (913) 758-6260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-01072 Kansas

Profile Details

NPI number 1699136739
LBN Legal business name Bertoncino, Thomas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - 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.

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