Bertram, Michael

Bertram, Michael is an individual health care provider with primary practice located at 250 Delaware Ave , Delmar NY 12054-1420. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bertram, Michael can be contacted via phone (518) 478-9933.

Contact Information

Primary practice address
250 Delaware Ave Delmar NY 12054-1420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 117328 New York

Profile Details

NPI number 1992882864
LBN Legal business name Bertram, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Jan 7th, 2014 - about 11 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 1992882864 NPPES
New York MEDICAID 00437398

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