Betka, Bernard J

Betka, Bernard J is an individual health care provider with primary practice located at 4005 Orchard Dr , Midland MI 48670-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Betka, Bernard J can be contacted via phone (989) 839-3000.

Contact Information

Primary practice address
4005 Orchard Dr Midland MI 48670-0001
Phone: (989) 839-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704177764 Michigan

Profile Details

NPI number 1063502797
LBN Legal business name Betka, Bernard J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 9th, 2007 - about 18 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 1063502797 NPPES
Michigan Other BB177764 BLUE SHIELD
Michigan MEDICAID 4397030 BLUE SHIELD

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