Bertolino, Gerard Anthony

Bertolino, Gerard Anthony is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Bertolino, Gerard Anthony can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X H6772 Texas
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD.017641 Louisiana

Profile Details

NPI number 1003810474
LBN Legal business name Bertolino, Gerard Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Oct 18th, 2016 - about 9 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 1003810474 NPPES
Texas Other 220009432 RAILROAD M/C-NEPG
Texas MEDICAID 1773387 RAILROAD M/C-NEPG
Texas Other 220018816 RAILROAD M/C-NEPG

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