Bertram, Michael J
Bertram, Michael J is an individual health care provider with primary practice located at 651 Centre View Blvd , Crestview Hills KY 41017-5423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Bertram, Michael J can be contacted via phone (859) 578-5665.Contact Information
Primary practice address
651 Centre View Blvd
Crestview Hills KY 41017-5423
Phone: (859) 578-5665
Fax: (859) 331-0012
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 35-084075 | Ohio |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 01065012A | Indiana |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 35084075 | Ohio |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 49097 | Kentucky |
Profile Details
NPI number | 1194754622 |
---|---|
LBN Legal business name | Bertram, Michael J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 30th, 2006 |
Last updated | Jul 15th, 2024 - about last year |
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 | 1194754622 | NPPES |
Kentucky | MEDICAID | 64083579 | |
Kentucky | Other | 7818551 | |
Kentucky | MEDICAID | 200368460 | |
Kentucky | Other | 000000568635 | |
Kentucky | MEDICAID | 2470580 |
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