Resta, Bartholomew J

Resta, Bartholomew J is an individual health care provider with primary practice located at 203 Earnhart Dr , Edenton NC 27932-8401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Resta, Bartholomew J can be contacted via phone (252) 482-7407.

Contact Information

Primary practice address
203 Earnhart Dr Edenton NC 27932-8401
Phone: (252) 482-7407
Fax: (252) 482-5529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-00339 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD0000020791 Tennessee

Profile Details

NPI number 1790727568
LBN Legal business name Resta, Bartholomew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 4th, 2021 - about 5 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 1790727568 NPPES
Tennessee MEDICAID 3053045
Tennessee MEDICAID 5909511
Tennessee Other 148TA

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