Ross, Bertrand A
Ross, Bertrand A is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Ross, Bertrand A can be contacted via phone (757) 668-7213.Contact Information
Primary practice address
601 Childrens Ln
Norfolk VA 23507-1910
Phone: (757) 668-7213
Fax: (757) 668-8225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 0101043290 | Virginia |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101043290 | Virginia |
Profile Details
NPI number | 1740220037 |
---|---|
LBN Legal business name | Ross, Bertrand A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 7th, 2006 |
Last updated | Jan 20th, 2010 - about 14 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 | 1740220037 | NPPES |
Pennsylvania | MEDICAID | 0017091520001 | |
Pennsylvania | MEDICAID | 129951400 | |
Pennsylvania | MEDICAID | 0001154501 | |
Pennsylvania | MEDICAID | 006722326 | |
Pennsylvania | MEDICAID | 890510M | |
Pennsylvania | MEDICAID | 9840399000 |
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