Bertuch, Charles Joseph

Bertuch, Charles Joseph is an sole proprietor health care provider with primary practice located at 1120 E Elizabeth Street , Fort Collins CO 80524. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Independent Medical Examiner. Allopathic & Osteopathic Physicians / Independent Medical Examiner is his primary health care specialty. Bertuch, Charles Joseph can be contacted via phone (970) 493-9193.

Contact Information

Primary practice address
1120 E Elizabeth Street Fort Collins CO 80524
Phone: (970) 493-9193
Fax: (970) 639-4475
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 99421-1 New York
Allopathic & Osteopathic Physicians / Independent Medical Examiner 202C00000X 099426 New York

Profile Details

NPI number 1316056013
LBN Legal business name Bertuch, Charles Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated May 3rd, 2019 - about 5 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 1316056013 NPPES
New York MEDICAID 00553493
New York Other 18111
New York Other 0000CM0523
New York Other 000405418002

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