Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | S02174 | MD |
NPI | 1063560233 |
---|---|
Provider Name | Dr. Michael Robert Bartel |
First Address | Hampstead, MD 21074-2033 |
Second Address | Hampstead, MD 21074-2033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2007 |
Last Update Date | 26/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D0XGMR | BLUE CROSS / BLUE SHIELD (01) | MD |
U945 | BLUE CROSS / BLUE SHIELD (01) | DC |