Bertsch, Kristin Nicole
Bertsch, Kristin Nicole is an sole proprietor health care provider with primary practice located at 100 Century Pkwy Ste 140 , Mount Laurel NJ 08054-1149. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Bertsch, Kristin Nicole can be contacted via phone (856) 380-2400.Contact Information
Primary practice address
100 Century Pkwy Ste 140
Mount Laurel NJ 08054-1149
Phone: (856) 380-2400
Fax: (856) 234-7870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 35SI00615100 | New Jersey |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PS018093 | Pennsylvania |
Profile Details
| NPI number | 1811441058 |
|---|---|
| LBN Legal business name | Bertsch, Kristin Nicole |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2016 |
| Last updated | Feb 5th, 2024 - about 7 months 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 | 1811441058 | NPPES |
| New Jersey | Other | 854181 | MEDICARE |
| New Jersey | MEDICAID | 0700291 | MEDICARE |
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