Bortz, Michael
Bortz, Michael is an individual health care provider with primary practice located at 1761 Beall Ave Ste 102 , Wooster OH 44691-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bortz, Michael can be contacted via phone (330) 287-2595.Contact Information
Primary practice address
1761 Beall Ave Ste 102
Wooster OH 44691-2342
Phone: (330) 287-2595
Fax: (330) 202-3487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | S7847 | Texas |
Profile Details
| NPI number | 1497166243 |
|---|---|
| LBN Legal business name | Bortz, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2014 |
| Last updated | Jun 10th, 2021 - about 4 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 | 1497166243 | NPPES |
| Texas | Other | 1G3116 | MEDICARE |
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