Bertram, Katherine A

Bertram, Katherine A is an individual health care provider with primary practice located at 128 N Whitney Ave , Cookeville TN 38501-2493. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Bertram, Katherine A can be contacted via phone (931) 783-4600.

Contact Information

Primary practice address
128 N Whitney Ave Cookeville TN 38501-2493
Phone: (931) 783-4600
Fax: (931) 783-4699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20230 Tennessee

Profile Details

NPI number 1689668790
LBN Legal business name Bertram, Katherine A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Jun 29th, 2020 - about 6 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 1689668790 NPPES
Tennessee MEDICAID 1511233
Tennessee MEDICAID PENDING
Tennessee MEDICAID 3051927
Tennessee MEDICAID 3723270

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