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Contact Information

SAMUEL T BERTSOS, PA
2835 MIAMI VILLAGE DR
MIAMISBURG, OH45342-4916
 Phone: 937-354-3700
 Fax: 937-262-7468
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMUEL T BERTSOS · (Male)

NPI Number 1114668928
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 04/05/2022
Last updated 06/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.007614RX
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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