Bertram, Martin F

Bertram, Martin F is an individual health care provider with primary practice located at 1750 E 3100 N , Layton UT 84040-2406. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bertram, Martin F can be contacted via phone (801) 773-4840.

Contact Information

Primary practice address
1750 E 3100 N Layton UT 84040-2406
Phone: (801) 773-4840
Fax: (801) 525-8151
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 8858473-1205 Utah

Profile Details

NPI number 1790857068
LBN Legal business name Bertram, Martin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 13th, 2024 - about 2 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 1790857068 NPPES
Other 31164836000 WORKERS COMP
MEDICAID 0110963 WORKERS COMP
Other 000000038962 WORKERS COMP

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