Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Bertram L. Johnson · Bertram Lee Johnson | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Bertram | [sources] | |||
ID Number | MD012613E | [sources] | |||
Last name | Johnson | [sources] | |||
Middle name | L. | [sources] | |||
NPI | 1477588218 | [sources] | |||
Position | MD | [sources] | |||
Address | Lancaster, PA | [sources] | |||
Last change | Last processed | First seen |
List of providers excluded from participating in the Delaware Medicaid program.
United States of America · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-00f639a1d2c6c6b230ef511aba5f41dae35ebd74
· us-medde-e9e89fed0090a99e42df6f20032a1edc2451b3a1
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Pennsylvania Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Lancaster, PA | United States of America |
United States of America | Department of Human Services | - | - |