Active NPIIndividual providerSole proprietor

Mr. Robert J Bertholf II

Licensed Practical Nurse in Goshen, New York

NPI Number1760701346
Practice location
252 Main St, Goshen, NY 10924-2178
Fax
—
Last updated
May 22, 2010

Robert James Bertholf is a Licensed Practical Nurse based in Goshen, NY. Robert James Bertholf practices in Goshen, NY. The NPI Number for Robert James Bertholf is 1760701346 and holds a License No. 282784 (NY). The current practice location address for Robert James Bertholf is 252 Main St, Goshen, NY 10924-2178 and can be reached out via phone at 845-292-2127.

Provider Profile Details

NPI Number
1760701346
Provider Name
Robert James Bertholf
Provider Entity Type
Individual
Gender
Male
Address
252 Main St, Goshen, NY 10924-2178
Phone Number
845-292-2127
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 22, 2010
Last Update Date
May 22, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
252 Main St
Goshen, NY 10924-2178
City
Goshen
Zip
10924-2178
Phone Number
845-292-2127
Goshen, NY 10924Get directions →

Provider Business Mailing Address Details

Address
252 Main St
Goshen, NY 10924-2178
City
Goshen
State
NY
Zip
10924-2178
Phone Number
845-292-2127

License Information

License Number
282784
License State
NY
Taxonomy
Licensed Practical Nurse · 164W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Robert J Bertholf II?

The NPI number of Mr. Robert J Bertholf II is 1760701346. It was assigned on May 22, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert J Bertholf II?

Mr. Robert J Bertholf II is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 282784.

Where does Mr. Robert J Bertholf II practice?

The practice location is 252 Main St, Goshen, NY 10924-2178. The office can be reached at 845-292-2127 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760701346 directly on the NPPES registry website.

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