Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A133797 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101259977 | VA |
NPI | 1023334372 |
---|---|
Provider Name | Keith R. Bachmann |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-2824 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2010 |
Last Update Date | 30/07/2021 |