Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1535 | MA |
NPI | 1003911843 |
---|---|
Provider Name | Dr. Reinhard H. Bartelmann |
First Address | Worcester, MA 01602-1227 |
Second Address | Worcester, MA 01602-1227 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 25/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BA Y36060 | BCBS PROVIDER NUMBER (01) | MA |