Bertram, Barbara
Bertram, Barbara is an individual health care provider with primary practice located at 500 Medical Dr , Wentzville MO 63385-3421. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Bertram, Barbara can be contacted via phone (636) 327-1362.Contact Information
Primary practice address
500 Medical Dr
Wentzville MO 63385-3421
Phone: (636) 327-1362
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 053636 | Missouri |
Profile Details
NPI number | 1245236504 |
---|---|
LBN Legal business name | Bertram, Barbara |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2005 |
Last updated | May 2nd, 2008 - about 16 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 | 1245236504 | NPPES |
Missouri | MEDICAID | 918804204 | |
Missouri | Other | P00281582 |
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