Bertram, Spencer Thomas

Bertram, Spencer Thomas is an individual health care provider with primary practice located at 555 W Wackerly St , Midland MI 48640-4722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Bertram, Spencer Thomas can be contacted via phone (989) 832-4202.

Contact Information

Primary practice address
555 W Wackerly St Midland MI 48640-4722
Phone: (989) 832-4202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Q5156 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 4301085355 Michigan

Profile Details

NPI number 1205876513
LBN Legal business name Bertram, Spencer Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jan 5th, 2022 - about 2 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 1205876513 NPPES
Michigan Other 01005987 HEALTH PLUS
Michigan Other 1338919 HEALTH PLUS
Michigan Other 502512712 HEALTH PLUS
Michigan MEDICAID 4922435-10 HEALTH PLUS
Michigan Other P00379788 HEALTH PLUS
Michigan Other 156785 HEALTH PLUS
Michigan Other 1023407 HEALTH PLUS

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