Bertram, Michael J

Bertram, Michael J is an individual health care provider with primary practice located at 651 Centre View Blvd , Crestview Hills KY 41017-5423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Bertram, Michael J can be contacted via phone (859) 578-5665.

Contact Information

Primary practice address
651 Centre View Blvd Crestview Hills KY 41017-5423
Phone: (859) 578-5665
Fax: (859) 331-0012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35-084075 Ohio
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 01065012A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 35084075 Ohio
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 49097 Kentucky

Profile Details

NPI number 1194754622
LBN Legal business name Bertram, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 15th, 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 1194754622 NPPES
Kentucky MEDICAID 64083579
Kentucky Other 7818551
Kentucky MEDICAID 200368460
Kentucky Other 000000568635
Kentucky MEDICAID 2470580

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