Jessica Ann Bertalan in Grand Rapids - Medical
Jessica Ann Bertalan - NPI 1669668927
Jessica Ann Bertalan is a Medical in Grand Rapids, Michigan. Jessica Ann Bertalan practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica Ann Bertalan is 1669668927. The last update date is 2021-03-31.
Jessica Ann Bertalan's current location address is 235 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6168408005 and fax number 6168409642. The mailing address for Jessica Ann Bertalan is 235 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Ann Bertalan |
|---|---|
| Address | 235 Wealthy St Se, Grand Rapids, Michigan |
| Phone Number | 6168408005 |
| Fax Number | 6168409642 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1669668927 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2021-03-31 |
Provider Mailing Address Detail
| Address | 235 Wealthy St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495035247 |
| Phone Number | 6168408005 |
| Fax Number | 6168409642 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601005126 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MI1763010 | MI | MEDICARE |
Post Comment/ Review Below
What is the Jessica Ann Bertalan's 1669668927?
The Jessica Ann Bertalan's NPI (National Provider Identifier) Number is 1669668927. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jessica Ann Bertalan's facilities are geographically located?
The facilities of Jessica Ann Bertalan are physically situated at the following location: 235 Wealthy St Se, Grand Rapids, MI, 495035247.
What is Jessica Ann Bertalan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jessica Ann Bertalan's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Jessica Ann Bertalan receive the assignment of its 1669668927 from the Centers for Medicare & Medicaid Services?
The Jessica Ann Bertalan was issued its 1669668927 by the Centers for Medicare & Medicaid Services on 2007-09-20.
As of what date was the information pertaining to Jessica Ann Bertalan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jessica Ann Bertalan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-31.