Bertram, Ronald
Bertram, Ronald is an individual health care provider with primary practice located at 3000 Nw A St , Bentonville AR 72712-3985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bertram, Ronald can be contacted via phone (479) 268-3050.Contact Information
Primary practice address
3000 Nw A St
Bentonville AR 72712-3985
Phone: (479) 268-3050
Fax: (479) 273-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E3360 | Arkansas |
Profile Details
| NPI number | 1669411096 |
|---|---|
| LBN Legal business name | Bertram, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Dec 31st, 2013 - about 12 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 | 1669411096 | NPPES |
| Arkansas | MEDICAID | 148406001 |
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