Bertram, Douglas Edward

Bertram, Douglas Edward is an sole proprietor health care provider with primary practice located at 1628 Winnebago St Apt 1 , Madison WI 53704-5559. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Bertram, Douglas Edward can be contacted via phone (608) 692-7785.

Contact Information

Primary practice address
1628 Winnebago St Apt 1 Madison WI 53704-5559
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 482-055 Wisconsin

Profile Details

NPI number 1720196561
LBN Legal business name Bertram, Douglas Edward
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 17 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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