Bertino, Michael

Bertino, Michael is an individual health care provider with primary practice located at 4775 Hamilton Wolfe Rd Bldg 1, San Antonio TX 78229-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Bertino, Michael can be contacted via phone (210) 616-0283.

Contact Information

Primary practice address
4775 Hamilton Wolfe Rd Bldg 1 San Antonio TX 78229-3463
Fax: (210) 616-0071
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X D4928 Texas

Profile Details

NPI number 1114921020
LBN Legal business name Bertino, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Sep 18th, 2023 - about 3 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 1114921020 NPPES
Texas MEDICAID 135493803

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