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
Fax: (757) 668-8225
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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